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REQUEST FOR PAYMENT <br />DATEt January 25. 1991 <br />PUCE:Orono. Minnesota <br />PtOJECT: Municipal Wall No. 3 16" Production Well <br />PEOJECT MO. : _ _ _ _ _ _ FILE NO.; 13949_ _ <br />FOR PERIOD: <br />From; Nov. 1. 1990 <br />SPECIFIED CONTRACT <br />To:Dec- 31, 1990 <br />COMTKAC^OE1 Kaye Wall Drilling Company <br />^ .. A St <br />COMPLETION DATE; <br />June 15. 199C <br />413 ttorth La^ington Parkway <br />MQUEST <br />MN 55104 <br />PAmNT NO.:_______8 & FINAL <br />SUMMARY: <br />1.Original Contrr.ct Aoount <br />2.Change Order • ADDITION S 31.475.00 <br />3.Change Order • DEDUCTION S <br />:r' ■ <br />:fe <br />4.Reviaed Contract Aaount <br />5.Value Coapleted to Date <br />6.Material on Hand <br />7.Aawunt Earned <br />s.Less Retainaae 0 Z <br />E V. <br />9.Sub^Total <br />;-r <br />‘•r 10.Less Aaount Paid Previously <br />11.AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: 8 4 F <br />S <br />$ <br />s <br />s <br />$ <br />$ <br />s <br />$ <br />$ <br />|‘r,, <br />t’- <br />Piv:, <br />Recoaaended for Approval by: <br />■1^'; <br />'ROO, ROSENE. AMDERLIK k <br />ASSOCIATES. INC. <br />By;n 4k <br />7 V ■ / <br />/ <br />APPROVAL: <br />70.155.00 <br />101^ S^O.OO <br />107.289.00 <br />0.00 <br />107.289.00 <br />0.00 <br />107.^289.00 <br />96.937.05 <br />10.351.95 <br />Otttt Approved S WELL DRILLIMC COMPANY <br />Contsactpe. <br />P111949 <br />Bt: nCEYS ¥1 <br />contMcto^ <br />By! 'kTT )