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R Bonaii oa <br />nAndrttC <br />rlAaodMd <br />W W livt • <br />For Period:Start to July 22. 1996 <br />uaic: juiy zz, iwo <br />Request No: 1 <br />Conttlctor Widmc !nc., P.O. Box 219. St Bonifacius, Minnesoca 55375 <br />REQUEST FOR PAYMENT <br />KELLY AVENUE <br />SANITARY SEWER IMPROVEMENTS <br />File No. 13982 <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 />Less Retainage 5% <br />Subtotal <br />10 Less Amount Paid Previously <br />II AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />$ <br />$ <br />Recommended for Approval by: <br />BONESTROO. ROSENE, ANDERLIK & ASSOCIATES, INC. <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Approved by Contractor: <br />Widmer Inc. <br />Approved by Owner: <br />City of Orono <br />40.595.50 <br />40.595.50 <br />23.913.50 <br />0.00 <br />23.913.50 <br />1.195.68 <br />22.717.83 <br />0.00 <br />22.717.83 <br />Specified Contract Completion Date:Date: <br />l:\139M 3982\REQUEST.WB2