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REQUEST FOR PAYMENT <br />DATE:November 8. 199C <br />PLACE;Orono, Minnesota <br />PROJECT: Trunk Highway 12 Cleanup & Restoration <br />PROJECT NO.:_ _ _ _ _ _ _ _ _ _ _ __ FILE NO.: 13939 <br />FOR PERIOD: <br />From: Aug. 23. 1990To: Nov. 8. 1990 <br />SPECIFIED CONTRACT <br />COMPLETION DATE: <br />CONTRACTOR: Otten Bros. Nursery & Landscaping. Inc. <br />ADDRESS PO Box 2A9_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Long Lake, Minnesota_ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />REQUEST FOR PAYMENT NO.:_ _ _ _ _ _ _ _ _ _2_ _ _ _ _ _ _ _ <br />SUMMARY: <br />1. Original Contract Amount <br />2. Change Order - ADDITION <br />3. Charge Order - DEDUCTION <br />A. Revised Contract Amount <br />5. Value Completed to Date <br />6. Material on Hand <br />7. Amount Earned <br />8. Les«? Retalnage 5 Z <br />Sub-Total9. <br />10. <br />11. <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.:. <br />A5^81A.35 <br />A5.81A.35 <br />32.677.69 <br />0.00 <br />32,677.69 <br />1.633.88 <br />31.0A3.81 <br />1A.68A.80 <br />16,359.01 <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />OWNER APPROVAL: <br />By_ _ _ _ _ _ _ <br />By. <br />. E!?.te:Approved By: OTTEN BROS. NURSERY & LANDSCAPING <br />13939PR