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mPngkwM <br />Bonestnxi <br />AnderOkA <br />Assodates <br />4Vdill»cli . <br />Owner City of Orono, P.O. Box 66, Crystal Bay, MN 5323 Date December 5, 1996 <br />For Period December 6,1995 to December 5, 1996 Request No.7 Final <br />Contractor Buffalo Bituminous, 2852 County Road 12 North, Buffalo, MN 55313 <br />REQUEST FOR PAYMENT <br />MUNICIPAL STATE AID IMPROVEMENTS <br />BROIVN ROAD RECONSTRUCTION - SAP 152-107.01 <br />WATERTOWN ROAD CULVERT - SAP 152-103 01 <br />File No. 13972 <br />SUMMARY <br />1 Original Contract Amount <br />2 Change Order - Addition <br />3 Change Order - Deduction <br />4 Revised Contract Amount <br />5 V'alue Completed to Date <br />6 Material on Hand <br />7 Amount Earned <br />8 Less Retainage <br />9 Sub-Total <br />10 Less Amount Paid Previously <br />11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />Final <br />Recommended for Approval by: <br />BONESTROjf ROSENE, ANDERLIK & ASSOCUTES, INC. <br />$ <br />$ <br />81,884.90 <br />7 Final <br />Approved by Contractor: <br />Buffalo Bituminous, Lnc . <br />Approved by Owner: <br />C ity of Oorono , MN <br />Specified Contract Completion Date: <br />June 16.1995 Date; <br />$566,506.50 <br />$648,391.40 <br />$648,439.45 <br />$0.00 <br />$648,439.45 <br />s 0.00 <br />$648,439.45 <br />$618,647.47 <br />$29,791.98