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REQUEST FOR PA:'MEN7 <br />DATE;October 24. 1990 FOR PERIOD: <br />PLACE;Orono. Minnesota From: Start <br />PROJECT;Lift Station No. 8 Renovation SPECIFIED CONTRACT <br />PROJECT NO.; <br />CONTRACTOR; <br />FILE NO. :13945 COMPLETION DATE: <br />Northwest Mechanical, Inc.October 31. 1990 <br />ADDRESS:432 Mill Street. PO Box 40 <br />Lone Lake. MN 55356 <br />REQUEST FOR payment NO.; 1 <br />To; Oct. 24. 1990 <br />SUMMARY; <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />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 />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: <br />*AGT0f I^commended for Approval by <br />BONESTROO, ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />By:,//lUl /). <br />OVNER APPROVAL; <br />By_ _ _ _ _ _ _ <br />By._ _ _ _ _ _ _ <br />48.000.00 <br />48.000.00 <br />9,520.00 <br />0.00 <br />9.520.00 <br />476.00 <br />9.044.00 <br />0.00 <br />9.044.00 <br />Date;Approved Bv; NORTHVEST MECHANICAL, INC. <br />Contractor <br />Bv;ApDroval stated on attached AIA form <br />13945PR