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•REQUEST FOR PAYMENT <br />DATE:August 1, 1990 FOR PERIOD: <br />PLACE:Orono, Minnesota From: June 1. 1990 <br />PROJECT:Municinal Well No.3 16* Production Well SPECIFIED CONTRACT <br />PROJECT NO.•FILE NO.: 13949 COMPLETION DATE: <br />CONTRACTOR:Revs Well Drilline Company June 15. 1990 <br />ADDRESS:413 North Lexinaton Parkway <br />St. Paul. MN 55104 <br />REQUEST FOR PAYMENT NO.:4 <br />SUMMARY: <br />1. 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 />Less Retainage 5 Z <br />Sub-Total <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.:. <br />mended for Approval by: <br />ONESTROO, ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />By: <br />70,155.00 <br />70,155.00 <br />52.089.00 <br />0.00 <br />52,^089.00 <br />2,604.45 <br />49,484.55 <br />42,791.80 <br />6,692.75 <br />OWNER APPROVAL: <br />By_ _ _ _ _ _ <br />By_ _ _ _ _ _ <br />Date: <br />PR13949