HomeMy WebLinkAboutPAY ESTIMATE INVOICE 52-08 PAY ESTIMATE NO. VENDOR #
EXPENSE CODE
CONTRACTOR , BG 224 32 5850 1327
( � t E , (�rz ,,,� Lead 224 32 5853 1327
•
ADDRESS HOME 224 32 5870
EDI 224 32 5851
4 i -J'l c, Other _
CITY, STATE, ZIP PROJECT CODE
OWNER BG
ADDRESS M I �-��,; �� HM
CONTRACT DATE
Other
DESCRIPTION n
DATE OF BILL 1, At
INVOICE NO.
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM
CHANGE ORDER NUMBERS $
TOTAL CONSTRUCTION COST $
LESS AMOUNT PREVIOUSLY PAID $
BALANCE STILL IN CONTRACT $
PAYMENT REQUESTED $
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.
DATE
COMPL ED BY ST S 1ST
DATE APPROVED FOR PAYMENT COMMUNI ELO ENT DIRECTOR OR DESIGNEE