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Cit7 of Ramsey, 15153 Nowthen.._Blvd. NW, Ramsey, MN 55303 <br />December 6, 1996 to December 31, 1996 <br /> <br />Date: <br /> December 31, 1996 <br /> <br /> 4 <br /> <br />Request No: <br /> <br />Alberg Water Services, LLC, 1620~. Highway 10 NW, Elk River, MN 55330 <br /> <br />REQUEST FOR PAYM2ENT <br />Deep Well No. 3 <br /> City Project No. 96-21 <br /> <br /> File No. 43802 <br /> <br />! <br />! <br /> <br />I <br /> <br />SUlVfMARY 1 Original Contract Amount <br /> <br /> 2 Change Order ~ Addition <br /> <br /> 3 Change Order - Deduction <br /> <br /> 4 Revised Contract Amount <br /> <br /> 5 Value Completed to Date <br /> <br /> 6 Material on Hand <br /> <br /> 7 Amount Earned <br /> <br /> 8 Less Retainage 5% <br /> <br /> 9 Subtotal <br /> <br /> 10 Less Amount Paid Previously <br /> <br /> 11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br /> <br />i <br /> <br />$ <br /> 52,417.~ 'l <br /> 192,420.~ <br />$ <br />$ ~' <br /> <br />$ ~' <br />$ : <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br /> <br />I <br /> <br />Approved by Contractor: <br /> <br />Approved by Owner: <br />City of Ram$4~y/ /3 <br /> <br />! <br />I <br /> <br />! <br />.Il <br /> <br />Specified Contract Completion Date: <br /> <br />~,0 <br /> <br />Date: <br /> <br />! <br />I <br /> <br /> <br />