HomeMy WebLinkAboutPAY ESTIMATE PAY ESTIMATE NO. I - ' VENDOR #
d la0,AA. 'iovr Q EXPENSE CODE
CONTRACTOR BG 224 32 5850 1327
Lead 224 32 5853 1327
U3 jCQ& c HOME 224 32 5870
ADDRESS EDI 224 32 5851
Other
IA .CITY, STATE, ZIP PROJECT CODE
OWNER BG
ADDRESS I,:iecrl Sf - HM
CONTRACT DATE "' - 13 O9 " Other
DESCRIPTION '' '': _),J--uv 2 vr-v DATE OF BILL (o-(r -c 7
INVOICE NO. a S`/7
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ `6 so
CHANGE ORDER NUMBERS $ Vl OY'-t.
TOTAL CONSTRUCTION COST $ 9 ;U
LESS AMOUNT PREVIOUSLY PAID $ C) u C>
BALANCE STILL IN CONTRACT $ CO •
PAYMENT REQUESTED $ 9 SO
LESS 10% RETAINED $ r1 icN
.
TOTAL DUE CONTRACTOR THIS ESTIMATE $ (' '5O
I have made a progress inspection of the property being rehabilitated at the above address. The
construction work for which payment has been requested has been satisfactorily completed in
accordance with the construction contract.
• ICE o k 430\4DATE COMPLETE BY STAFCIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE