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REQUEST FOR PAYMENT <br />DATE:September 19, 1990 <br />PLACE:Orono, Minnesota <br />PROJECT:_ _Vater Well Test Drilling <br />PROJECT NO.:FILE NO.: 139A8 <br />CONTRACTOR:Keys Well Drilling Company <br />ADDRESS: 413 N Lexlneton Pkwy <br />ft. Paul. MN 55104 <br />REQUEST FOR PAYMENT NO.;4 & FINAL <br />FOR PERIOD: <br />From;Apr. 10. 1990 To;Sep. 1. 1990 <br />SPECIFIED CONTRACT <br />COMPLETION DATE; <br />January 1, 1990 <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 0 I <br />Sub-Total <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />3.766.70 <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.; 4 & F <br />62,590.00 <br />66,356.70 <br />36.544.20 <br />0.00 <br />36,544.20 <br />0.00 <br />36.544.20 <br />31,756.12 <br />4,788.08 <br />Recommended for Approval by; <br />BONESTROO, ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />By <br />OWNER APPROVAL: <br />By_ _ _ _ _ _ _ <br />By_ _ _ _ _ _ _ <br />Date:Approved By; KEYS WELL DRILLING CO. <br />Contractor <br />PR13948