Loading...
HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8386 (2) PAY ESTIMATE NO. (2- -�- 68 TO �.a (n Yr..� I iZ-Li c�(, • Jo H ,-)1 ) I r e. ENO. (Contractor) V EXPENSE CODE ADDRESS 3a3 K-)+ke A€ VJii DATE OF BILL IC: -iI -0)6 atc,t 0. I So-303 -- 22.4i INVOICE NO. S'YX OWNER C LI ADDRESS - dui ; •fn{. 'st CONTRACT DATE SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM - $ '4 g `3 3S• CHANGE ORDER NUMBERS $ C) , p C� TOTAL CONSTRUCTION COST $ 2 4 • . LESS AMOUNT PREVIOUSLY PAID $ ? a r 351 , • 5© BALANCE STILL IN CONTRACT $ 1 4 8,,_`;Q PAYMENT REQUESTED $ ;, 4%S. SO LESS 10% RETAINED $ ('j, L) 0 TOTAL DUE CONTRACTOR THIS ESTIMATE $_ 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 g _ OR DESIGNEE