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r <br />M <br />BuncODC <br />nMMmkl <br />|\||Aiso(tate <br />Owner City of Orono. P.O. Box 66. Crystal Bay. MN 55323-0066 Date: November 4.1997 <br />For Period:October 7.1997 to November 4.1997 Request No: 5 <br />Contractor Barbarossa & Sons. P.O. Box 367. Osseo. MN 55369 <br />REQUEST FOR PAYMENT <br />NORTH LONG LAKE AND LONG LAKE COUNTRY CLUB <br />SANITARY SEWER IMPROVEMENTS <br />Fde No. 13988 <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 S% <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 />3 <br />6 <br />7 <br />$ <br />$ <br />77.490.00 <br />737.00 <br />S <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Recommended for Approval by: <br />BON£STROO» ROSENE, ANDERLIK & ASSOCIATES, INC <br />Approved by ContrlKtbn <br />Barbarossa & Sons <br />Approved by Owner <br />City of Orono <br />Specified Contract Completion Date:Date: <br />874.930.01 <br />951.683.01 <br />723.433.90 <br />0.00 <br />723.433.90 <br />36.171.70 <br />687.262.21 <br />626.830.71 <br />60.431.50 <br />l:\139M3988\REQUESTS.WB2