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I <br /> <br /> City ofRa~, sey, 15~153 Nowthen Blvd. N'W, Ramsey, MN 55303 . Date:. July 14, 1.997 <br /> <br /> Start to Ju.!y 14, 1997 .. Request No: 1/Final I <br /> EH Renner & Sons, 15688 Jarvis Street NW, Elk River, M~N 55330 <br /> REQUEST FOR PAYMENT '1 <br /> WATER WELL TEST HOLE <br /> WELL NO. 4 I <br /> CITY PROJECT NO. ~ <br /> FILE NO. 43802A <br /> <br /> 1 Original Contract Amount $ 9,435.00 <br /> 2 Change Order - Addition $ I <br /> 3 Change Order - Deduction $ <br /> 4 Revised Contract Amount $ 9,435.(30 I <br /> 5 Value Completed to Date $' 5,998.00 <br /> 6 Material on Hand $ 0.00 <br /> 7 Amount Earned $ 5,998.00 I <br /> 8 Less Retainage 0% $ 0.00 <br />9 Subtotal <br />10 Less Amount Paid Previously $. 0.00 I <br />11 AMOUNT DUE THIS REQUF_~T FOR PAYMENT NO. 1fFInal . $. 5,998.00 <br /> I <br /> Recommended for Approval by: <br /> BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. . <br /> <br /> Approved by Contractor, Approved by Owner: <br /> EH Rennet & Sons City ofRa/rr~y~ ~ /] ~ / I <br /> <br />SUMIvlARY <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />I <br />I <br />I <br /> <br /> <br />