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L w- •• <br />HI <br />Owner:City of Orono. Box 66. Crystal. Minnesou 55323 Date:July 23. 1996 <br />For Period.Start to July 23.1996 Request No:1/Final <br />* ContriKtor:Allied Blacktop. 10503 89th Avenue N. Maple Grove. MN 55369 <br />REQUEST FOR PAYMENT <br />1996 SEAL COAT <br />File No. 13983 <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 />4 <br />5 <br />6 <br />7 <br />s <br />$ <br />I/Final <br />$ <br />S <br />S <br />s <br />$ <br />$ <br />$ <br />$ <br />Recommended for Approval by: <br />BONESTKOO JIOSENE, A^ERLIK & ASSOCIATES, INC. <br />Approved by Contractor: <br />Allied Blacktop <br />Approved by Owner: <br />City of Orono <br />Specified Contract Completion Date:Date: <br />44.270.00 <br />44.270.00 <br />34.401.26 <br />0.00 <br />34.401.26 <br />0.00 <br />34.401.26 <br />0.00 <br />34.401.26 <br />l:\139\13983\REQUEST.WB2