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r <br />Bonestfw <br />Rawne <br />AfMfcrikt <br />Assodala <br />m^vitAnMiKti <br />I tiril Igwiii <br />Owner City of Orono. P.O. Box 66. Crystal Bay. MN 55323 Date: June 5,1997 <br />For Period: Start to June 5.1997 Request No: <br />Contractor. Buffalo Bituminous, P.O. Box 337,2852 Co. Rd. 12 N., Buffalo, MN 55313 <br />REQUEST FOR PAYMENT <br />1996 OLD CRYSTAL BAY ROAD TRAIL IMPROVEMENTS <br />File No. 13985 <br />SUMMARY <br />1 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 />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />$ <br />$ <br />8 Less Retainage 5% <br />9 Subtotal <br />10 Less Amount Paid Previously <br />11 AMOUNT DUE THIS REQUEST FOR PAYMENTNO. <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by Contractor <br />Buffalo Bituminous <br />Approved by Owner <br />Ci^ of Orono <br />Specified Contract Completion Date:Date: <br />l:\13gM3985\REQUEST.WB2 <br />1 <br />164,136.00 <br />164,136.00 <br />42,910.00 <br />0.00 <br />42,910.00 <br />2,145.50 <br />40,764.50 <br />0.00 <br />40,764.50