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e <br />REQUEST FOR PAYMENT <br />DATE: December 2, 1986 <br />PLACE: Orono, Minnesota _ <br />PROJECT: 1986 Seal Coat Project <br />PROJECT NO.: 13930 FILE NO.: 13930 <br />CONTRACTOR: Allied Blacktop Company <br />ADDRESS: 10503 - 89th Ave. No. <br />Maple Grove, Minnesota 55369 <br />REQUEST FOR PAYMENT NO.: 1st & Final <br />FOR PERIOD: <br />From: Aug. 1, 1986 To Sept. 15, 1986 <br />SPECIFIED CONTRACT <br />COMPLETION DATE: <br />September 12, 1986 <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 0 <br />9. Sub -Total <br />10. Less Amount Paid Previously <br />11. AMOUNT DUE THIS REQUEST FOR PAYMENT NO.: 1st & Final <br />OWNER APPROVAL: <br />$ 81,480.00 <br />$ 81,480.00 <br />$ 120,878.17 <br />$ 0.00 <br />$ 120,878.17 <br />$ 0.00 <br />$ 120,878.17 <br />$ 0.00 <br />$ 120.878.17_ <br />Recommended for Approval by: <br />BONESTR00, ROSENE, ANDERLIK & <br />ASSOCIATES, INC. <br />By: <br />0 <br />By <br />By <br />Date: Approved By: Allied Blacktop Company <br />Contractor <br />By: <br />7266d <br />