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f...REQUEST FOR PAYMENT <br />DATE:__ <br />O^LACEt. <br />December 14. 1988 <br />Orono. Minnesota <br />PROJECT; 1988 Seal Coat Project <br />PROJECT NO.;_ _ _ _ _ _ _ _ _ _ <br />CONTRACTOR: Allied Blacktop Company <br />ADDRESS: <br />FILE NO.; 13944 <br />FOR PERIOD; <br />From; Nov. 1. 1988 To; Dec. 15. 1988 <br />SPECIFIED CONTRACT <br />COMPLETION DATE; <br />10503 - 89th Avenue North <br />Maple Grove. Minnesota 55369 <br />REQUEST FOR PAYMENT NO.;,2nd & Final <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 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 />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.;,2 & F <br />18.470.80 <br />18.470.80 <br />19.711.18 <br />0.00 <br />19.711.18 <br />0.00 <br />19.711.18 <br />17.025.99 <br />2.685.19 <br />Approved By: BONESTRO^ ROSENE. ANDERLIK & <br />ASSOCIA^j^/INC. <br />.y:_C4 <br />OWNER APPROVAL; <br />By_ _ _ _ _ _ <br />By. <br />Date; <br />O PR13944 <br />Allied Blacktop Company