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REQUEST FOR PAYMENT <br />DATE:November 5. 1990 FOR PERIOD: <br />PLACE:Orono, Minnesota From: Oct. 1, 1990 <br />PROJECT:Municipal Well No. 3 16* Production Well SPECIFIED CONTRACT <br />PROJECT NO.: FILE NO.:13949 COMPLETION DATE: <br />CONTRACTOR:Keys Well Drilling Company June 15. 1990 <br />ADDRESS:413 North Lexington Parkway <br />St. Paul. MN 55104 <br />REQUEST FOR PAYMENT NO.:. <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 />-.ess Retainage _ _'j_ _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 />31.475.00 <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.:. <br />70,155.00 <br />101.630.00 <br />102.039.00 <br />0.00 <br />102.039.00 <br />5.101.95 <br />96^937.05 <br />77,975.05 <br />18.962.00 <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />* <br />By; __ <br />OWNER APPROVAL: <br />By_ _ _ _ _ _ _ <br />By_ _ _ _ _ _ _ <br />Date:Approved By; KEYS WELL DRILLING COMPANY <br />Contractor <br />By:. <br />PR13949