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Owner: <br /> <br /> .F. or Period: <br /> contractor: <br /> <br />City of Ramsey, 15153 Nowthen Blvd. NW, Ramse¥, MN 55303 <br />ApriI 3, 1997 to September 30, 1997 <br /> <br />Date: <br /> <br />Request No: <br /> <br />October 3, 1997 <br /> <br />Alber8 Water Services, LLC, 16200 Highway 10. _NW, Elk River, MN 55330 <br /> <br /> REQUEST FOR PAYMENT <br /> Deep Well No. ;~ <br /> City Project No. 96.~I <br /> File No. 43802 <br /> <br />S UlVI2vtARY <br /> <br /> I Original Contract Amount <br /> <br /> 2 Change Order - Addition <br /> <br /> 3 Change Order - Deduction <br /> <br />4 Revised Contract Amount <br />5 Value Completed to Date <br /> <br /> 6 Material on Hand (Well No. 4 Casing) <br /> <br />7 Amount Earned <br /> <br /> 8 Less Retainage 5% Well No. 4 Only (.05 x $t5,553.4I) <br /> <br />9 Subtotal <br /> <br />10 Less Amount Paid Previously <br /> <br />11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br /> <br />8 <br /> <br />$ 192,420.00 <br /> <br />$ 192,420.00 <br /> <br />$ 121,915.50 <br /> <br />$ 15,553.41 <br /> <br />$ 137,468.91 <br /> <br />$ 777.67 <br /> <br />$ 136,691.24 <br /> <br />$ 115,991.28 <br /> <br />$, 20,699.96.. <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br /> <br />Approved by Contractor: <br />Alberg ~Water Services, LLC <br /> <br />A.pproved by O..g/ner: ~ <br /> <br />Specified Contract Completion Date: <br /> <br />I :'Vk38Vk.3,802~ EQ U ESTS.WB2 <br /> <br />Date: <br /> <br />I' <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> <br /> <br />