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REQUEST FOR PAYMENT <br />OATIi <br />FUCtt <br />May 1. 1991 <br />Qrtmo. Minft««otA <br />woJMCTt FtawhouM Wo. 3 <br />nOJlCT HO. I FILE NO.t 13950 <br />COMTIACTORi llch—r Ccmitruction <br />AOOUSS t 7776 Aldw tfw______ <br />FOR PERIOD: <br />Proa: Apr. 1. 91 <br />SPECIFIED COMTHACT <br />COMPLETIOM DATE: <br />May 15. 91 - Sub <br />Jun 15. 91 - Final <br />Fridley. MW 55»32 <br />V, <br />tlQOIST FOl PAYMOIT HO.t <br />\ !»• <br />It <br />heVr <br />«'■ V <br />\ : ■■ <br />U-e'- <br />•t/''t- <br />IK <br />e <br />y:i: <br />I,-; <br />■i'A' <br />^ ,11 <br />V-.. <br />t*- <br />w <br />f 1.1 <br />re <br />V, <br />hM.' <br />I. ^ <br />"'t <br />pte' <br />AlYt <br />1. OrltiAAl> Contract Anount <br />Chang* Order - ADDITION <br />Chang* Ordar - DEDUCTION <br />Raylaad Contract Aaount <br />Faina Conplatad to Dat* <br />Natarial on Rand <br />Aaount Bamad <br />Laa* Ratainaga 5 I <br />8ttb>Total <br />2. <br />3. <br />4. <br />5. <br />f. <br />T. <br />8. <br />9. <br />10. <br />11. <br />$ <br />$ <br />7.677.00 <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Lata Aaount Paid Prayloualj <br />ANOUIIT DOE THIS REQUEST FOR PAYMENT NO.: <br />$ <br />$ <br />RecooMaandad for Approval bj: <br />BONESTROO. ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />To: Aor. 30. 91 <br />211.340.00 <br />214.017.00 <br />206.377.SO <br />0.00 <br />206.377.30 <br />io.3i8.se <br />146.058.62 <br />180.823.47 <br />13.233.15 <br />OVHER APPROVALS <br />Dotat Approved a^» RICHMAR CONSTRUCTION <br />Contractor <br />By* <br />139S0PR