HomeMy WebLinkAboutPAY ESTIMATE INVOICE 2847 PAY ESTIMATE NO. I E I►) ( VENDOR#
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CONTRACTOR BG _ 224 32 5850 1327
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Lead 224 32 5853 1327
c6U�3 - HOME 224 32 5870
ADDRESS EDI 224 32 5851
Other
^Llcrc, , IA 5o7() 3CITY, STATE, ZIP PROJECT CODE
OWNER C9 -j BG
ADDRESS `1 I S n-0 ( \a-t- jt- HM
CONTRACT DATE 134 -- a - U 01 oq Other
DESCRIPTION (\\- '1 DATE OF BILL I ^ 07
INVOICE NO. a LI7
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 0, H SC)
CHANGE ORDER NUMBERS $ Ci U 1
TOTAL CONSTRUCTION COST $ v, q CC,'
LESS AMOUNT PREVIOUSLY PAID $ G' a
BALANCE STILL IN CONTRACT $ o, CI Co,
PAYMENT REQUESTED $ ,D, n 5(-)
LESS 10% RETAINED $ 01 o--
TOTAL DUE CONTRACTOR THIS ESTIMATE $ n , SO ' "cr
I have made a progress inspection of the property being rehabilitated at the above address. The
construction work for which payment has been requested s been satisfa torily completed in
accordance with the construction contract.
3 i J
DATE COM ED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE