HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8618 PAY ESTIMATE NO. VENDOR #
ehrn ,� >Z�.c,14' a 10c EXPENSE CODE
CONTRACTOR BG _ 224 32 5850 1327
Lead _ 224 32 5853 1327
3)-3 HOME _ 224 32 5870
ADDRESS EDI _ 224 32 5851
Other
� �2rlc�� (�• 56-)D27
CITY, STATE, ZIP PROJECT CODE
OWNER BG
ADDRESS 11 S MU I h er y jt , HM
CONTRACT DATE 1,4 9 b/ 5-o O S - G(n -61 Other GIN• ���[.' .
DESCRIPTION e,mo - �`,� 1- s 11 a0 (.).-Sr21 DATE OF BILL I O 1 '1 0 7
INVOICE NO, Yr i
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ ~I 4 S . co
CHANGE ORDER NUMBERS $
TOTAL CONSTRUCTION COST $ 9 2 L-I S 5. —
LESS AMOUNT PREVIOUSLY PAID $ 0 0 cU
BALANCE STILL IN CONTRACT $ 4 S S•
PAYMENT REQUESTED $ 3 I 2 9 5.
LESS 10% RETAINED $ 3, I 2-
TOTAL DUE CONTRACTOR THIS ESTIMATE $ I
I have made a progress inspection of the property being rehabilitated at the above address. The
construction work for which payment has been request d has been satisfactorily completed in
accordance with the construction contract.
I O - 3 ' - O .
DATE CO L TED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE