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REQUEST FOR PAYMENT <br />ESTIMATED QUANTITIES <br />is <br />JANUARY 31, 1989 <br />PROJECT: Mounds View Business Pk CONTRACTOR: <br />Gephart Electric <br />Road <br />LOCATION: Mounds View, MN <br />ADDRESS: <br />3600 La Bore <br />St. Paul, MN 55110 <br />PROJECT.' NO: 86-106 <br />FOR PERIOD: 10/1/88 - 1/31/89 <br />FILE: <br />LITEPAY <br />SUMMARY: <br />958,705.00 <br />1. Original Contract Amount <br />2. Change Order - ADDITION <br />$0.00 <br />3. Change Order - DEDUCTION <br />$0.00 <br />.00 <br />- NET <br />858,705.00 <br />e Revised Contract Amount <br />958,7U5.0!� <br />5, Value Cocnleted To Date <br />$0.00 <br />6. Material on Hand <br />$58,705.00 <br />7. Amount Earned <br />$0.00 <br />B. Less Retainage OX <br />858,705.00 <br />9. Subtotal <br />$53:489.75 <br />10. Less Amount Previously Paid <br />$5,215.25 <br />T.1. AMOUNT DUE THIS REQUEST FOR <br />PAYMENT <br />G hereLy certify that this partial payment request reflects that work has <br />erials have <br />livered to the site <br />been completed and the <br />with the plansdandtspecificationsefore <br />inProject No. 86-106. <br />Recommended for Approval By: <br />MERILA AND ASSOCIATES, INC. <br />By: <br />Reg. No.: /JFZG <br />Date: '?// 1�f <br />Approved By Owner: <br />CITY OF MOUNDS VIEW <br />By: ` <br />� Qp <br />Date: <br />Payment Requested By: <br />GEPH;RT 9 TRIIC\C <br />By: d / <br />Date• <br />THIS CONSTITUTES FINAL AND FULL PAYMENT FOR ALL WORK UNDER THIS <br />T 9M-AL'f <br />