Laserfiche WebLink
Bonotroo <br />Ikscnc <br />AndeAC1 <br />in^wB4ArdiftKd <br />Owner City of Orono. P.O. Box 66. Crystal Bay. MN 55323 Date: December 3. 1997 <br />For Period: July 8.1997 to December 3.1997 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 />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 <br />9 Subtotal <br />10 Less Amount Paid Previously <br />II AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />2 <br />3 <br />A <br />5 <br />6 <br />7 <br />$ <br />$ <br />$ <br />$ <br />% <br />$ <br />$ <br />$ <br />$ <br />$ <br />Recommended for Approval by: <br />BONESTROQ/ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by Contractor.Approved by Owner <br />City of Orono <br />Specified Contract Completion Date:Date: <br />l:\139M 3985\REQUEST3.WB2 <br />1 i <br />164,136.00 <br />164,136.00 <br />149,805.56 <br />0.00 <br />149,805.56 <br />2,000.00 <br />1 V;,805.56 <br />104,841.25 <br />42,964.31