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REQUEST FOR PAYMENT • <br /> DATE: January 19, 1990 PAYMENT NO. : 4 <br /> PROJECT: Mounds View Bus Pk S CONTRACTOR: Glenn Rehbein Exc <br /> LOCATION: Mounds View, MN ADDRESS: 7309 Lake Drive <br /> PROJECT NO. : 88-109 Lino Lakes, MN 1 <br /> FOR PERIOD: 12/1/89 - 1/16/90 FILE: REHBNPAY <br /> SUMMARY: <br /> 1. Original Contract Amount $545, 903 .93 <br /> 2 . Change Order - ADDITION $27, 587 .55 <br /> 3 . Change Order - DEDUCTION ($22, 287. 43) <br /> - NET $5, 300. 12 <br /> 4 . Revised Contract Amount $551, 204 . 05 <br /> 5. Value Completed To Date $423 , 967. 27 <br /> 6. Material on Hand $0. 00 <br /> 7 . Amount Earned $423 , 967 . 27 <br /> 8 . Less Retainage 5% $21, 198 . 37 <br /> 9 . Subtotal $402 , 768 . 90 <br /> 10. Less Amount Previously Paid $302 , 002 . 22 <br /> 11. AMOUNT DUE THIS REQUEST FOR PAYMENT $100,766. 68 <br /> It is hereby certified that all work has been completed in confor- <br /> mance with the plans and specifications for Project No. 88-109 . <br /> Recommended for Approval By: Payment Requested By: • <br /> MERILA AND ASSOCIATES, INC. GLENN REHBEIN EXCAVATING, INC. <br /> By: , ,,/`7.-,-/ --g/ By: G/- -",..->c446 <br /> Reg. No. : /rV Date: //Z Z /5 <br /> y <br /> Date: /L72,/4-0 <br /> Approved By Owner: <br /> CITY OF MOUNDS VIEW <br /> BBy: ;6 <br /> Date: /-..? <br /> 4 <br />