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REQUEST FOR PAYMENT <br />DATE: October 22, 1984 FOR PERIOD: <br />PLACE: Orono, Minnesota From:Sept. 17, 1984To Oct. 19, 1984 <br />PROJECT: Navarre Force Main b Lift Station #7 - San. Sewer <br />PROJECT NO.: FILE NO.: 11923 COUNCIL MEETING <br />CONTRACTOR: B 3 D Contracting <br />ADDRESS: 6130 Sunset Drive <br />Mound, Minnesota 55364 <br />REQUEST FOR PAYMENT NO.: 1 <br />SUMMARY: <br />1. Original Contract Amount <br />2. Change Order - ADDITION $ <br />3. Change Order - DEDUCTION $ <br />4. Revised Contract Amount <br />5. Value Completed to Date <br />6. Material on Hand <br />7. Amount Earned <br />8. Less Retainage 5 % <br />9. sun -Total <br />10. Less Amount Paid Previously <br />11. AMOUNT DUE ':HIS REQUEST FOR PAYMENT NO.: <br />OWNER APPROVAL: <br />By - <br />O C T 29 1984 <br />CITY OF ORONO <br />$ 102,926.28 <br />$ <br />102,926.28 <br />$ <br />62,711.58 <br />$ <br />0.00 <br />$ <br />62,711.58 <br />$ <br />3,135.58 <br />$ <br />59,576.00 <br />$ <br />0.00 <br />1 $ <br />59,576.00 <br />Approved By: BONESTR00, ROSENE, ANDERLIK <br />ASSOCIATES, INC. <br />B y --- <br />Date: Approved By: B 6 D Contracting <br />Contractor <br />By: <br />3826c <br />