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•ontitfoo <br />ftotin# <br />AntftrfH( A <br />AttoclJtes <br />« M <br />Owner City of Orono, 1335 Brown RoaJ, Cryslal Bay, MN 55332 Dale Dee. 17, 1991 <br />For Period November 22, 1991 to December 16, 1991 Request No. 3 A Final <br />Conlrador Northwest Mechanical. Inc., 4.12 Mill Street Box 4Q, Long Lake, MN 553.56 <br />REQUnST FOR PAYMENT <br />Lift Station No. 11 Renovation <br />File No. 13959 <br />SUMMARY <br />1 Original Contract Amount <br />2 Change Order • Addition <br />3 Change Order - Deduction <br />4 Revised Contract Amount <br />5 Value Completed to Date <br />6 Material on Hand <br />7 Amount Earned <br />8 Less Rctainage 0% <br />9 Sub-Total <br />10 Less Amount Paid Previously <br />11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />$ <br />$ <br />3 A Final <br />Recommended for Approval by: <br />BONESTR(K), RaSENE, ANDERLIK A ASSOCIATES, INC <br />A <br />Approved hv Contractor: <br />NORTHWEST MEaiANTCAL, INC <br />Approved by Owner: <br />CITY OF ORONO, MN <br />Specified Contract Completion Date: <br />October 31, 1991 Date: <br />IJHfRFP <br />48,000.00 <br />s 48,000.00 <br />s 48,000.00 <br />s 0.00 <br />$48,000.00 <br />$0.00 <br />s 48,000.00 <br />$45,600.00 <br />s 2,400.00