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!v''I-:.:.,If REQUEST FOR PAYMENT <br />OATS I Cih I • • W <br />January 4. 1991 <br />HACEt tfe*^brono. Mlnnasota <br />nOJSCT <br />flOJICT HO. I_ _ _ _ __ <br />to5. 10 t A3 Replacement <br />_ _ _ PILE MO.I <br />liftMTaACTOMi Latour Conatniction Company <br />ADOtSSSI RR 1 PO Box 76_______________ <br />139A0 <br />FOR PERIOD: <br />Proa: Aug. 23. 1990To; Dec. 31. 1990 <br />SPECIFIED CONTRACT <br />COMPLETION DATE: <br />Mania Lake. MN 5S358 <br />BBQUIST FOR PAYMENT NO.t 2 fc FINAL <br />lARYt <br />1. Original Contract Amount <br />2. Changa Ordar - ADDITION <br />3. Changa Ordar - DEDUCTION <br />A. Rayltad Contract Amount <br />5. Valuo Conplatad to Data <br />g. Notarial on Hand <br />7. Amount Bamad <br />g. Laao Ratalnaga 0 I <br />g. Sub'Total <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Lata Amount Paid Praviously <br />AMOUNT DUB THIS REQUEST FOR PAYMENT NO.: 2 t F_ <br />$ <br />$ <br />$ <br />$ <br />Raconmandad for Approval by: <br />BONESTROO. ROSENE. ANDERLIK i <br />ASSOCIATES. INC. <br />feS' <br />; V- <br />Hm APPROVAL: <br />77.465.00 <br />77.465.00 <br />88.320^ <br />0.00 <br />88.320.20 <br />0.00 <br />88.320.20 <br />61.241.75 <br />27.078.45 <br />Approvad n^r. CONSTRUCTION CO <br />Contractor <br />llfAOPt <br />li