HomeMy WebLinkAboutPAY ESTIMATE INVOICE 48-09 „. ,.
PAY ESTIMATE NO. I VENDOR #
inn I es- v-, I r Q1 n r' c ,, EXPENSE CODE
CONTRACTOR BG _ 224 32 5850 1327
Lead 224 32 5853 1327
I 21 Eaft GRaorl_ S---• HOME _ 224 32 5870 """`" t
ADDRESS EDI — 224 32 5851
Other _
P'A -4,(eilc, , IA 52310
CITY, STATE, ZIP PROJECT CODE
OWNER ,' 4) BG
ADDRESS '1 IC 1\11tsd .J l , HM
CONTRACT DATE
Other , Cr' 001 •
DESCRIPTION 1-71.i •A mac; ,Tc;'Lk: t.M St DATE OF BILL
1)ri)lzy-k C 3 INVOICE NO. ” c' 9
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ j q 7
CHANGE ORDER NUMBERS $ 1114.e ' 41.5 0 ' 0
TOTAL CONSTRUCTION COST $ I o '4
LESS AMOUNT PREVIOUSLY PAID $ 0 O 0
BALANCE STILL IN CONTRACT $ I? '(12 '
PAYMENT REQUESTED $ I , I g'at)
LESS 10% RETAINED $ Ili 0,
TOTAL DUE CONTRACTOR THIS ESTIMATE $ I `-f '-t 2
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.
9 V I - 09 iA A•-n �'
r
DATE COMPLETED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE