HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8386 • c
PAY ESTIMATE NO. I •
TO Lrnr Tci - _. E aria r, nc . GOBG NO.
(Contractor) „.\-)
EXPENSE CODE
ADDRESS 2 3 Ko+i hf 14\J 4 •
DATE OF BILL 10 II -0(O
1n'r�-�lo:� Ia . co a.?.47
INVOICE NO. 'is 3 t3
OWNER G L3
ADDRESS l l S nn (AI `Deer. ¶ axt-109,
CONTRACT DATE c6 " 15s -0
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ S 35.
CHANGE ORDER NUMBERS $ U 0 v
TOTAL CONSTRUCTION COST $ ? g 35,
LESS AMOUNT PREVIOUSLY PAID $ U• 0 0
BALANCE STILL IN CONTRACT $ � cA 35.
PAYMENT REQUESTED $ 1 $3S•
LESS 10% RETAINED $ � y SS3. 50
TOTAL DUE CONTRACTOR THIS ESTIMATE $._ _a 351, S�
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.
o 13 0 l4 cam.. 6 4
DATE REHABILITATION SPECIALIST
`-( y -3 i ..516 o.
APPROVED FOR PAYMENT
1 ~DATE COM N TY DEVELOPMENT DIRECTOR
OR D n IGNEE