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Stantec <br />Ciy COPY <br />Owner: City of Lino Lakes, 600 Town Center Pkwy., Lino Lakes, MN 55014 Date: August 24, 2015 <br />For Period: 7/23/2015 to 8/18/2015 <br />Request No: 9 -Final <br />Contractor: Keys Well Drilling Co., 1156 Homer St., St. Paul, MN 55116 <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />CONSTRUCTION OF WELL NO. 6 <br />STANTEC PROJECT NO, 193802886 <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 Subtotal <br />10 Less Amount Paid Previously <br />11 Liquidated damages - <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />Recommended for Approval by: <br />STANTEC <br />ie,(41-6 <br />0.00 <br />0.00 <br />9 -Final <br />Approved by Contra or: <br />KEYS WELL DRILLING CO. <br />Specified Contract Completion Date: <br />'I79 y9y' vi - foo 1/7 <br />193802886REQ9-Final.xls m <br />$ 176,950.00 <br />$ 176,950.00 <br />$ 140,312.00 <br />$ 0.00 <br />$ 140,312.00 <br />$ 0.00 <br />$ 140,312.00 <br />Approved by Owner: <br />CITY OF LINO LAKES <br />133, 296, 40 <br />0.00 <br />7,015.60 <br />Date: <br />//76 <br />`/� <br />