Laserfiche WebLink
REQUEST FOR PAYMENT <br />DATE: February 231988 <br />PLACE: Orono Minnesota <br />PROJECT: 1987 Seal Coat Project <br />PROJECT NO.: FILE NO.: 13931 _ <br />CONTRACTOR Allied Blacktop Company <br />ADDRESS: 10503 - 89th Avenue North <br />Maple Grove, Minnesota 55369 <br />REQUEST FOR PAYMENT NO.: 2nd and Final (Revised) <br />FOR PERIOD: <br />From: Sept. 16, 1987 To Feb. 23, 1988 <br />SPECIFIED CONTRACT <br />COMPLETION DATE: <br />September 4, 1987 <br />SUMMARY: <br />1. <br />Original Contract Amount <br />2. <br />Change Order - ADDITION <br />$ <br />3. <br />Change Order - DEDUCTION <br />$ <br />4. <br />Revised Contract Amount <br />5. <br />Value Completed to Date <br />6. <br />Material on Hand <br />7. <br />Amount Earned <br />B. <br />Less Retainage 0 2 <br />9. <br />Sub -Total <br />10. <br />Less Amount Paid Previously <br />11. <br />AMOUNT DUE THIS REQUEST FOR <br />PAYMENT NO.: 2 6 Final <br />(Revised) <br />OWNER APPROVAL: <br />ny <br />Av <br />n atv. <br />$ 89,692.95 <br />$ 89,692.95 <br />$ 88,648.32 <br />$ <br />0.00 <br />$ 88,648.32 <br />$ <br />0.00 <br />$ 88,648.32 <br />$ 82,540.46 <br />$ 6.107.86 <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIE 6 <br />ASSOCIATES, INC. <br />By: <br />Al.proved Ay:_ Allied Blacktop Company <br />Contractor <br />By: <br />S u41r p nil <br />