HomeMy WebLinkAboutPAY ESTIMATE INVOICE 3322 ... - .r.. "T .tom'''•
PAY ESTIMATE NO. 1 t � ' VENDOR#
} EXPENSE CODE
CONTRACTOR BG 224 32 5850 1327
Lead 224 32 5853 1327.,
S, R:cte_ea,v� ST .__
HOME _____ 224 32 5870 -- t
ADDRESS EDI — 224 32 5851
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CITY, STATE, ZIP PROJECT CODE
OWNER 4-3 BG
ADDRESS , i S r 1 H (4- . HM
CONTRACT DATE S - i 0 - a-v ' v Other
DESCRIPTION 1 s-uf, v,
DATE OF BILL C-g' i 0
1Z L t 1c,,,,A INVOICE NO.
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 1 SO
CHANGE ORDER NUMBERS $ .__-
TOTAL CONSTRUCTION COST $ 1 C A
LESS AMOUNT PREVIOUSLY PAID $
BALANCE STILL IN CONTRACT $ 1 5 (5 • A
PAYMENT REQUESTED $ 1 S 0
LESS 10% RETAINED $
TOTAL DUE CONTRACTOR THIS ESTIMATE $
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.
C/ 11.Q.A.A.,, f, _____
DATE COMPLE F PECI, I:T
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE