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REQUEST FOR PAYMENT <br />DATE: December 3, 1985 FOR PERIOD: <br />PLACE: Orono, Minnesota From: Oct.31, 198� To Nov. ", 1985 <br />PROJECT:Willow Drive Overlay -Old Crystal. Bay Rd. Overlay SPECIFIED CONTRACT <br />PROJECT NO.:MSAP 152-10'.-07,152-102-08 FILE NO.: 13922 COMPLETION DATE: <br />CONTRACTOR: Wm. Mueller 6 Sons, Inc. October 5, 1985 <br />ADDRESS: 831 Park Ave. <br />Hamburg,_ Mn. 55339 <br />REQUEST FOR PAYMENT NO. <br />SUMMARY <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />Original Contract Amount <br />Change Order - ADDITION $ <br />Change Order - DEDUCTION S <br />Revised Contract Amount <br />Value Completed to Date <br />Material on Hand <br />Amount Earned <br />Less Retainage 5 2 <br />Sub -Total <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: 2 <br />$ 7 3 826.74 _ <br />$ 2 3 2 L8 2 6.7 4 <br />$ 96, 245.28 <br />S 0.00 <br />969245.28 <br />4,812.26 <br />$ 91,433.07 <br />$ 30,324.47_ <br />Recommended for Approval. by: <br />BONESTROO, ROSEIM, ANDERLIK b <br />ASSOCIATES, INC. <br />r' <br />r /7 <br />OWNER APPROVAL <br />sy <br />By <br />flare: J Approved By: W®. Mueller b Sons, Ins. <br />Contractor <br />Bv: <br />026 3d <br />