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REQUEST FOR PAYMENT <br />DATE:__ <br />PLACE: <br />December 5, 1990 <br />Orono. Minnesota <br />PROJECT; Trunk Highway 12 Cleanup S Restoration <br />PROJECT NO.:_ _ _ _ _ _ _ _ FILE NO.: 13939 <br />FOR PERIOD: <br />From: Nov. 9. .>.>>0 Tc; Nov. 30. 1990 <br />SPECIFIED CONTRACT <br />COMPLETION DATE; <br />CONTRACTOR: Otten Bros. Nursery & Landscaping, lac <br />ADDRESS:_ _ PO Box 249 <br />Long Lake. Minnesota <br />REQUEST FOR PAYMENT NO.:. <br />SUMMARY* <br />1. Original Contract Amount <br />2. Change Order - ADDITION <br />3. Change Order - DEDUCTION <br />4. Revised Contract . ant <br />5. Value Completed to Date <br />6. Material on Hand <br />7. Amount Earned <br />Less Retainage 5 Z <br />Sub-Total <br />8. <br />9. <br />10. <br />11. <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: <br />Recommended for Approval by; <br />BONESTROO. ROSENE. ANDERLIK & <br />OWNER APPROVAL; <br />By_ _ _ _ _ _ <br />By_ _ _ _ _ _ <br />Date: <br />45,814.35 <br />45,814.35 <br />35,327.77 <br />0.00 <br />35,327.77 <br />1.766.39 <br />33,561.38 <br />1,043.81 <br />2.517.57 <br />Approve •: OTTEN BROS. NURSERY & LANDSCAPING <br />Contractor <br />13939PR