Laserfiche WebLink
r <br />BONESTROO AND ASSOCIATES ©612 6361311 09/03/97 13:23 0 :02/13 ri6:190 <br />jMlBonesiuin <br />Owner;City of Uronn. p.O. Box 66. Crvstal Bay. NfN 55.32.3-0066 Date:Augu.st6. 19*)7 <br />R Andetflca <br />^Anodvei h'nr Feriixl:August 6. 1W7 to Sepiemlw .3. 1097 Request No:3I'll <br />A ArcMiRCU <br />arai'iMaif 1 C fintractor:Baibarossti A Sons, P.O. Bo.x 367, Ossco, MN 55369 <br />REQUEST FOR PAYMENT <br />NORTH LONG LAKE AND LONG LAKE COUNTRY CLUB <br />SANITARY SEWER IMPROVEMENTS <br />File No. 13988 <br />SUMMARY <br />1 Orijtinul Cunlnwi Amount <br />2 Chani;c Order - Addition <br />3 Clian^c Order * Deduction <br />4 R<vh«H Contraet Amount <br />.5 Value Completed l»> Date <br />’•'utcrial on Hand <br />Amount liorned <br />8 Les.^ Retninage 3% <br />9 Sublulul <br />Less Amount Paid Previously <br />AMOUNT DUli THIS REQUEST FOR PAYMEhTP NO. <br />$ <br />S <br />55.768.00 <br />737.00 <br />6 <br />7 <br />10 <br />II <br />S <br />s <br />$ <br />$ <br />$ <br />$ <br />$ <br />s <br />Recommended for Approval by: <br />BONESTROO. KOSENE. ANDERLIK & ASSOCIATES. INC. <br />Approved by Contractor: <br />Barharo.^«a & Sons <br />Approved by Owner: <br />City of Oronu <br />Specified Contract Completion Date:Date: <br />t \lM\136ltg\nEQUEST3 WB2 <br />874.930.01 <br />929.961.01 <br />.591..373.60 <br />0.00 <br />591.373.60 <br />29.568.68 <br />56IJ04.92 <br />312,773.47 <br />49,0.31.45