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REQUEST FOR PAYMENT <br />DATE: August 1, 1986 FOR PERIOD: <br />PLACE: Orono, Minnesota From, June 30, 1986To July 31, 1986 <br />PROJECT:Nillov 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. June 15, 1986 <br />ADDRESS: 831 Park Ave. <br />Hamburg, Mn. 55339 <br />REQUEST FOR PAYMENT NO.: 5 <br />SUMMARY: <br />1. Original Contract Amount <br />2. Change Order - ADDITION $ 4,900.00 <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 />B. Less Retainage 5 Z <br />9. Sub -Total <br />10. Less Amount Paid Previously <br />11. AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: <br />OWNER APPROVAL: <br />Date: <br />7 <br />S 232,826.74 <br />$ 237.726.74 <br />$ 203.886.66 <br />$ <br />0.00 <br />$ 203,886.66 <br />$ 10,194.33 <br />$ 193,692.33 <br />$ _ 188,229.83 <br />_ <br />$ 5.462.50 <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK 6 <br />ASSOCIATES, INC. <br />By: <br />Approved By: Wm. Mueller 6 Sons, Inc. <br />Contractor <br />By: <br />0263d <br />