HomeMy WebLinkAboutPAY ESTIMATE INVOICE 3366 PAY ESTIMATE NO. r,'„, k VENDOR#
r v . ' EXPENSE CODE
CONTRACTOR BG 224 32 5850 1327
Lead _224 32 5853 1327.-.:
S 03 gi'..d, 1- . HOME __ 224 32 5870 --_ ,.
ADDRESS EDI _ 224 32 5851 _
Other
CITY, STATE, ZIP PROJECT CODE
OWNER 6 i--) BG
ADDRESS I u I O rr ' HM
CONTRACT DATE I () Other
DESCRIPTION
C, r DATE OF BILL r _ " - I
INVOICE NO. - 3 h
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ cl 4 - "
CHANGE ORDER NUMBERS $
TOTAL CONSTRUCTION COST $ I, d Li S
LESS AMOUNT PREVIOUSLY PAID $ —BALANCE STILL IN CONTRACT $ 10( Li
PAYMENT REQUESTED $ I q y c
LESS 10% RETAINED $ it ! e3, —
TOTAL DUE CONTRACTOR THIS ESTIMATE $ I ; q LI 5 .
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.
_ 1 0 ' itikA-4411
DATE COMPLETE PECI•
cri t ,r ►
DATE APPROVED FOR PAYMENT COMMUNIT E ELOPMENT DIRECTOR OR DESIGNEE