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REQUEST FOR PAYMENT <br />DATE: September 2, 1986 FOR PERIOD: "',:� <br />PLACE: Orono, Minnesota From: July 31, 1986To Aug. 31, 1986 <br />PROJECT:Willow Drive Overly -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 S Sons, Inc. June 15, 1986 <br />ADDRESS: 831 Park Ave. <br />Hamburg, Mn. 55339 <br />REQUEST FOR PAYMENT NO.: 6 <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 $ 4,900.00 <br />Change Order - DEDUCTION $ <br />Revised Contract Amount <br />Vilue Completed to Date <br />Material on Hand <br />Amount Earned <br />Less Retainage 5 % <br />Sub -Total <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT Nn.: <br />OWNER APPROVAL: <br />By <br />By <br />Date: <br />$ 232,826.74 <br />$ <br />237,726.74 <br />$ _ <br />208,229.93 <br />$ <br />0.00 <br />$ <br />208,229.93 <br />$ <br />10,411.50 <br />$ <br />197,818.43 <br />$ <br />193,692.33 <br />6 $ 4.1.'6.10 <br />Recommended for Approval by: <br />BONESTR00, ROSENE, ANDERLIK 6 <br />ASSOCIATES, INC. <br />ay. `;�' <br />C <br />Approved By: Wm. Mueller b Sons, Inc. <br />Contractor <br />By: <br />0263d <br />