Laserfiche WebLink
r <br />REQUEST FOR PAYMENT <br />ESTIMATED QUANTITIES <br />OCTOBER 17, 1988 <br />z4ern 8 <br />i <br />PROJECT: Mounds View Business Pk CONTRACTOR: Gephart Electric <br />LOCATION: Mounds View, MN ADDRESS: 3600 La Bore Road <br />PROTECT NO: 86-106 St. Paul, MN 55110 <br />FOR PERIOD: September 1988 FILE: LITEPAY <br />SUMMARY: <br />1. <br />Original Contract Amount <br />$58,705.00 <br />2. <br />Change Order - ADDITION $0.00 <br />3. <br />Change Order - DEDUCTION 80.00 <br />- NET <br />00.00 <br />4. <br />Revised Contract Amount <br />$58.705.00 <br />S. <br />Value Completed To Date <br />056,305.00 <br />6. <br />Material on Hand <br />$0.00 <br />7. <br />Amount Earned <br />$56,305.00 <br />8. <br />Less Retainace 5% <br />$2,815.25 <br />9. <br />Subtotal <br />953,489.75 <br />10. <br />Less Amount Previously Paid <br />019,099.75 <br />11. <br />AMOUNT DUE THIS REQUEST FOR PAYMENT <br />$34,390.00 <br />I hereby certify that this partial payment request reflects that work has <br />been completed and the stated materials have been delivered to the site <br />in conformance with the plans and specifications for Project No. 86-106. <br />Recommended for Approval By: <br />MERILA AND ASSOCIATES, INC. <br />By: <br />Reg. No.: 1r4lil- <br />Date•_ ii av If <br />Approved By Owner: <br />CITY OF MOUNDS VIEW <br />By: <br />Date: <br />Payment Requested By: <br />GEPHART RLECiRIC <br />By: <br />Date: <br />