HomeMy WebLinkAboutPAY ESTIMATE INVOICE 420 ff--
PAY ESTIMATE NO.
TO iocso g o ers L XcaJa i CDBG NO.
(Contractor)
EXPENSE CODE
ADDRESS 12 7 C61I eec\ 1A\)e .
DATE OF BILL 10-4-06
Jansdale I►� ;0_7O7
INVOICE NO. �:����X � r;•�� 4a0
OWNER Ci-
ADDRESS 1 is f`'(li1 b erf St
CONTRACT DATE 9- a-S-O(0
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 7, I0).
CHANGE ORDER NUMBERS $ 0, 00
TOTAL CONSTRUCTION COST $ Si 100. --
LESS AMOUNT PREVIOUSLY PAID $ `-I', bSb• —
BALANCE STILL IN CONTRACT $ (4) OSo.
PAYMENT REQUESTED $ t-( () p
LESS 10% RETAINED $ O. U O
TOTAL DUE CONTRACTOR THIS ESTIMATE $-__ 4', SC?_.__—
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.
, j_s
DATE RE ABILITATION SPECIALIST
APPROVED FOR '^AYMENT
J
tf 0(bi°
DATE COMMUNITY DEVELOPMENT DIRECTOR
OR DESIGNEE