HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8327 1
PAY ESTIMATE NO. i
TO J-th 1 CDBG NO.
(Contractor)
EXPENSE CODE
ADDRESS 2 1)\ e, •
DATE OF BILL 7 -
\t" A • - pfl
INVOICE NO
OWNER
t
ADDRESS
CONTRACT DATE -14,4
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM '); 403
CHANGE ORDER NUMBERS JA
TOTAL CONSTRUCTION COST S(, 0,ou. —
LESS AMOUNT PREV- IOUSLY PAID 0,, O
BALANCE STILL IN CONTRACT
PAYMENT REQUESTED $ 1/4x
LESS 10% RETAINED 50,0,
TOTAL DUE CONTRACTOR THIS ESTIMATE -7
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 REHABILITATION SPECIALIST
APPROVED FOR PAYMENT
DATE COMMUNITY DEVELOPMENT DIRECTOR
OR DESIGNEE