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REQUEST FOR PAYMENT' <br />DATE: January 8, 1985 FOR PERIOD: <br />PLACE: Orono, Minnesota From: Nov. 30, 1984To Dec. 31 .184 <br />PROJECT: Navarre Force Main & LifL Station #7 - San. Sewer <br />PROJECT NO.: FILE NO.: 13923 <br />CONTRACTOR: B 5 D Contracting <br />:,DDRESS: 6130 Sunset Drive <br />Mound, Minnesota 55364 <br />REQUEST FOR PAYMENT NO.: 3rd & Final <br />SUMMARY: <br />1. Original Contract Amount <br />2. Change Order - ADDITION $ 2,800.00 <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 0 % <br />9. Sub -Total <br />10. Less Amount Paid Previously <br />11. AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: 3rd 6 Final <br />OWNER APPROVAL: <br />By <br />By <br />$ 102,926.28 <br />$ 105,726.28 <br />101,696.70 <br />$ <br />0.00 <br />$ 1012696.70 <br />$ <br />0.00 <br />$ 101,696.70 <br />$ 92,895.11 <br />$ 8,801.59 <br />Approved By: BONESTROO, ROSENE, ANDERLIK h <br />ASSOCIATES, INC. <br />J <br />Date: Approved By: B 6 D Contracting <br />Contractor <br />By <br />3826c <br />