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REQUEST FOR PAYMENT <br />DATEt August 23. 1990 <br />Orono, MlnnesottPLACEt_ _ _ _ _ _ _ _ _ _ <br />PROJECT i Trunk Highwv 12 Cleanup t Restoration <br />PROJECT NO. I_ _ _ _ _ _ _ _ _ _ _ PILE NO.t 13939 <br />CONTRACTORt Ottsn Bros. Nugisrv 6 Landscsning. Inc <br />ADDRESS t PO Box 249_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Long Lake. Minnesota <br />REQUEST FOR PAYMENT NO.i_ _ _ _ _ _ _ _1_ _ _ _ _ _ <br />FOR PERIOD: <br />From: Start <br />SPECIFIED CONTRACT <br />COMPLETION DATEt <br />To: Aug. 23. 1990 <br />SUMMARY: <br />1. Original Contract Amount <br />Change Order • ADDITIOH <br />Change Order - DEDUCTION <br />Revised Contract Amount <br />Value Completed to Date <br />Material on Hand <br />Amount Earned <br />Less Retainage 5 t <br />Sub*Total <br />2. <br />S. <br />4. <br />5. <br />e. <br />7. <br />8. <br />9. <br />10. <br />11. <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.i. <br />45.814.33 <br />43.814.35 <br />457.68 <br />0.00 <br />15.437.68 <br />772.88 <br />14.684.80 <br />0.00 <br />14.684.80 <br />Recommended for Approval by: <br />BONESTROO, ROSENS, ANDERLIK & <br />ASSOCIATES, INC. <br />By«. <br />OWNER APPROVAL: <br />By_ _ _ _ _ _ <br />Date:.Approved Bv: OTTEN BROS. NURSERY & LANDSCAPING <br />Contractor <br />Byi. <br />13939PR