HomeMy WebLinkAboutPAY ESTIMATE PAY ESTIMATE NO. 1 — r' "°` \ VENDOR #
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�'' I EXPENSE CODE
CONTRACTOR
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BG 224 32 5850 1327
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Lead _ 224 32 5853 1327_.
HOME _ 224 32 5870
ADDRESS EDI _ 224 32 5851
1—e--94ASai, b1 2.1 - IS IS Other
CITY, STATE, ZIP PROJECT CODE
OWNER C� BG
ADDRESS 1 S L. 1 ne. ,�' • HM
CONTRACT DATE 13 4 ` i2- - uS - 1-9 - 09 - L7O Other
DESCRIPTION S17,.c k41 -Q DATE OF BILL L 09
re c; d cfrk) I S-C-1 c. �u r c_S INVOICE NO. � � t C rC
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ � 4aS,
CHANGE ORDER NUMBERS $ G. O O
TOTAL CONSTRUCTION COST $ 9, 4 qt. S.
LESS AMOUNT PREVIOUSLY PAID $ 0 • v 0
BALANCE STILL IN CONTRACT $ q, S,
PAYMENT REQUESTED $ q Lk q S `1%
LESS 10% RETAINED $ !n I G\
TOTAL DUE CONTRACTOR THIS ESTIMATE $ Q `t S•
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.
3 tom( 06T
DATE COMPLET D BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE