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i( I Bonestroo <br />Rosene <br />Anderlik & <br />^ I Associates <br />Engineers 4 Architect! <br />Owner City of Orono, PO Box 66, Crystal Bay, MN 55323 Date: November 11,1999 <br />For Period: Start to November 10,1999 Request No: <br />Contractor Alberg Water Services. 16200 Hwy 10 NW, Elk River, MN 55330-7825 <br />REQUEST FOR PAYMENT <br />Well No. 1 Maintenance and Pump Repairs <br />BRA File No. 139-99-108 <br />SUMMARY <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />Original Contract Amount <br />Change Order • Addition <br />Change Order • Deduction <br />Revised Contract Amount <br />Value Completed to Date <br />Material on Hand <br />Amount Earned <br />Less Retainage 5% <br />Subtotal <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />$ <br />$ <br />$ <br />5. <br />5. <br />S. <br />$ <br />$ <br />$ <br />s <br />$ <br />Recommended for Approval by: <br />BONESTROO. ROSENE, ANDERLIK & ASSOCIATES. INC. <br />Approved by Owner <br />CITY OF ORONO <br />Specified Contract Completion Date: <br />November 19.1999 <br />Date: <br />rtqutst 1 <br />1 <br />29,765.00 <br />29.765.00 <br />7.456.00 <br />7,456.00 <br />372.80 <br />7,083.20 <br />0.00 <br />7.083.20