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f?' <br />BONESTROO AND ASSOCIATES ^ 612 6361311 12/02/97 17:02 0 :10/1A NO:438 <br />RoMne Owner;Ciiy of Orono. P.O. Bot Cry.stal Bay, MN 55!^2.^Date December 2. 1997 <br />Fur Penud October 15. 1997 to November 4,1997 Request No; 5 <br />roiiinicior: <br />• <br />Biirbnri'SNa Sc Sniis, P.O. Box Osseo. MN <br />REQUEST FOR PAYMENT <br />RAY RIDOR AND BRACKETTS POINT <br />SANITARY SEWER IMPROVEMENTS <br />File No 1 3990 <br />F<^k 11-0 CaiLi c iL. A/i ri' 1 ifjY-. <br />2 <br />4 <br />SUMMARY <br />I Orii;iiiiil Cunirau Amount <br />Chunge Order - Addiiion <br />Chtmjtc Order Deduction <br />Revised Contract Amtiuni <br />5 Value Completed to Date <br />(t Material on Hand <br />Amount Earned <br />Les4 RclaitiMgc <br />SuMoial <br />10 Lev* Amount Paid Previously <br />II amount DUK IUIS RHQUhJn FOR I'AYMIiNT NO. <br />S <br />s <br />55,53800 <br />7 <br />8 <br />9 <br />$ <br />$ <br />$ <br />S <br />$ <br />$ <br />$ <br />s <br />Recommended for Approval by: <br />BONF^STROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by Contractor: <br />Barbarossa & Sonx <br />Approved by Owner; <br />City of Orono <br />Specified Contract CttmplcUon Date:Date: <br />l:\139\13880\REQUE ST5.WB2 <br />523.740.00 <br />579.278 00 <br />454,100.75 <br />0.00 <br />454,100.75 <br />22.705.04 <br />431,395.71 <br />403,320.36 <br />28,075.35