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R - ;� ,� <br />REQUEST FOR PAYMENT <br />ESTIMATED QUANTITIES <br />January 9, 1989 <br />�J. P_AULI <br />PROJECT: Mounds View Business Pk CONTRACTOR: C. W. Houle, Inc. <br />LOCATION: Mounds View, MN ADDRESS: 1300 West Cty Rd I <br />PROJECT NO: 86-106 Shoreview, MN 55126 <br />FOR PERIOD: 10/25/88-12/31/68 FILE: MVPAY <br />SUMMARY: <br />1. <br />Original Contract Amount <br />4872,535.62 <br />2. <br />Change Order - ADDITION <br />$64,489.46 <br />3. <br />Change Order - DEDUCTION <br />$51,727.32 <br />- NET <br />$12,762.14 <br />4. <br />Revised Contract Amount <br />$885.297.76 <br />5. <br />Value Completed To Date <br />$868,873.75 <br />6. <br />Material on Hand <br />$0.00 <br />7. <br />Amount Earned <br />4868,373,75 <br />8. <br />Less Retainage 2% <br />017,377.48 <br />9. <br />Subtotal <br />$851,496.27 <br />10. <br />Less Amount Previously Paid <br />$819,199.16 <br />11. <br />AMOUNT DUE THIS REQUEST FOR <br />PAYMENT <br />$32,297.11 <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 />MF.RILA AND ASSOCI�ATEES, INC. <br />Reg. No.:f!� <br />Date: ���/6/ <br />el <br />Approved By Owner: <br />CITY OF MOUNDS VIEW <br />By: <br />Date: <br />Payment Requested By: <br />C.W. HOULE, INC. <br />By: <br />Date: <br />