HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8448 (2) PAY ESTIMATE NO.
TO t X ILAVci � CDBG NO.
(Contractor
k +-
EXPENSE CODE
ADDRESS 3 1P, A4e. .
DATE OF BILL _lan.a3, 9,001
c-erian IA . SOO 3 -02s4'1
INVOICE NO. '4 4 4,
OWNER -
ADDRESS h IS t 1Iberr W'ice IA
CONTRACT DATE W w- , aoo
4 5 — - Coo - 11 -g-7 - 0 0
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 0;15'
CHANGE ORDER NUMBERS $ S, S OO
TOTAL CONSTRUCTION COST $_ P 9 5 S-
LESS AMOUNT PREVIOUSLY PAID $ 0 , 0 Q
BALANCE STILL IN CONTRACT $ �-9) SDS °"
PAYMENT REQUESTED $ S / 7 -S `-
LESS 10% RETAINED
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.
DATEREHABILITATION SPECIALIST
APPROVED FOR PAYMENT
DATE COMMUNITY DEVELOPMENT DIRECTOR
OR DESIGNEE