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REQUEST FOR PAYMENT <br />I <br />DATE: June 30, 1986 FOR PERIO <br />PLACE: Orono, Minnesota From: To June 30, 1986 <br />.. <br />NA fl, <br />PROJECT:Willow Drive Overlay -Old Crystal Bay Rd. Overlay SPECIFIED CONTRACT <br />PROJECT NO.:MSAP 152-101-07,152-102-08 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.: 4 <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. Sub -Total <br />10. Less Amount Paid Previously <br />11. AMOUNT DUE THIS REQUEST FOR PAYMENT MO.:� 4 <br />OWNER APPROVAL: <br />By- ---- --- -- - - <br />$ 232,826.74 <br />$ 232,826.74 <br />$ 198,136.66 <br />$ <br />0.00 <br />$ 198,136.66 <br />$ 9,906.83 <br />$ 1A8,229.8', <br />$ 94,155.87 <br />$ 94,073.96 <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK 6 <br />ASSOCIATES, INC. <br />B y : <br />By------ --- ------ <br />Date: Approved By: Wm. -Mueller b Sons, Inc. <br />_ _____—_-____ Contractor <br />By: -----------__-------- -- <br />