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REQUEST FOR PAYMENT <br />DATE: January 26, 1988 <br />PLACE: Orono, Minnesota <br />PROJECT: Hackberry Park Well, Pump b Pressure System <br />PROJECT NO.: F'LE NO.: 13932 <br />CONTRACTOR: E. H. Renner 6 Sons, Inc. <br />ADDRESS: 15688 Jarvis Street Northwest <br />Elk River, Minnesota 55330 <br />REQUEST FOR PAYMENT NO.: 1 (Revised) <br />FOR PERIOD: <br />From: Start <br />SPECIFIED CONTRACT <br />COMPLETION DATE: <br />To Jan. 15, 1988 <br />45 consecutive calendar days <br />from the time of written notice <br />to proceed <br />SUMMARY: <br />1. Original Contract Amount <br />2. Change Order - ADDITION $ 731.00 <br />3. Change Order - DEDUCTION $ 86.94 <br />4. Revised Contract Amount <br />5. Value Completed to Date <br />6. Material on Hand <br />7. Amount Eart;od <br />8. Less Retainage 5 % <br />9. Sub -Total <br />10. Less Amount Paid Previously <br />11. AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: 1 (Revised) <br />OWNER APPROVAL: <br />By <br />By <br />Late: <br />$ 11,267.50 <br />$ 11,911.56 <br />$ 11,911.56 <br />$ <br />0.00 <br />$ 11,911.56 <br />$ <br />595.58 <br />$ 11,315.98 <br />$ <br />0.00 <br />$ 11,315.98 <br />Recommended for Approval by: <br />BONESTR00, ROSENE, ANDERLIK 6 <br />ASSOCIATES, INC. <br />Approved By: <br />By: <br />E. H. Renner 6 Sons, Inc. <br />Contractor <br />76S,2e-D-031 <br />