HomeMy WebLinkAboutPAY ESTIMATE PAY ESTIMATE NO. I - VENDOR#
A vctI A„ EnJ;‘?or, e 1,-SC?';r.•.... .. EXPENSE CODE ...
CONTRACTOR BG 224 32 5850 1327
Lead _ 224 32 5853 1327_:`7
1503 f S4 HOME 224 32 5870
ADDRESS EDI — 224 32 5851
jj }} (( Other
tAl1ta c 6703
CITY, STATE, ZIP PROJECT CODE
OWNER 0. BG
ADDRESS �Vlttllfu HM
CONTRACT DATE Cs L2 P 12 — ` 2�`4 - Oct' - C7 0 Other
DESCRIPTION l�` LS � �^ 231A 2 39, 2 q...5 DATE OF BILL
e�•Lls �r 3+ INVOICE NO.
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 3, 9 So
CHANGE ORDER NUMBERS $ 0 C
TOTAL CONSTRUCTION COST $ ). q So
LESS AMOUNT PREVIOUSLY PAID $ C) C, C)
BALANCE STILL IN CONTRACT
PAYMENT REQUESTED
LESS 10% RETAINED $ V I e,
TOTAL DUE CONTRACTOR THIS ESTIMATE $ , c)` t
1 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. '
I i - 0 i
DATE COMPL BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE