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Bonat roo <br />VH/WMBl <br />|\j|As»di <br />b^WfSArMKti <br />LiLftijIlIBHiiHLj <br />Owner:City of Orono, 2750 Kelly Parkway, Orono. MN 55232 Date:January 20, 1997 <br />For Period:December 3. 1996 to January 15,1997 Request No:3 Revised <br />Contractor:Ford Construction Co. Inc., P.O. Box 667, Excelsior, MN 55331 <br />REVISED <br />REQUEST FOR PAYMENT <br />LEFT STATION NO. 28 RENOVATION <br />File No. > 3968 <br />SUMMARY <br />I 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 />8 Less Retainage 2.5% <br />9 Subtotal <br />10 Less Amount Paid Previously <br />II AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />$ <br />$ <br />3 Revised <br />S <br />$ <br />S <br />s <br />$ <br />$ <br />s <br />s <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by Contractor: <br />Ford Construction Co. Inc. <br />Approved by Owner: <br />City of Orono <br />Specified Contract Completion Date:Date: <br />l:\139\13968\REQUEST3.WB2 <br />69.872.00 <br />69,872.00 <br />69.652.00 <br />0.00 <br />69,652.00 <br />1,741.30 <br />67,910.70 <br />60.324.81 <br />7,585.89