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~ Anfleflik,~ <br />i~ ~ate, For Period: April 1, 1998 to April 28, 1998 Request No: 15 <br /> <br />_x~ur.S,t~._ Contractor: Alber~ Water Services, LLC. 16200 H~hway 10 NW, Elk River. MN 55330 <br /> <br /> REQUEST FOR PAY~IENT <br /> <br /> · Deep Well No. 3 <br /> City Project No. 96-21 <br /> <br /> File No. 43802 <br /> <br />SUMMARY <br /> 1 Original Contract Amount $ 192,420.00 <br /> 2 Change Order - Addition $ ~~ <br /> 3 Change Order - Deduction $ ~~ <br /> 4 Revised Contract Amount . $ 192,420.00 <br /> 5 Value Completed to Date $ 213,163.50 <br /> 6 Material on Hand $ 0.00 <br /> 7 Amount Earned ' $ 213,163.50 <br /> 8 Less Retainage 5% Well No. 4 Only (.05 x $91248.00) $ 4,562.40 <br /> <br /> 9 Subtota! $ <br /> 10 Less Amount Paid Previously $ 191,603.23 <br /> 11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. ~ 15 $ 16,997.87 <br /> <br /> Recommended for Approval by: <br /> BONESTROO, ROSENE, ANDERLIK & ASSOCIATF~, INC. <br /> <br /> Approved by Contractor: Approved by Owner: <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />1:M38~3802\REQUST15.WB2 <br /> <br /> <br />