HomeMy WebLinkAboutPAY ESTIMATE INVOICE 010751 PAY ESTIMATE NO. 4— VENDOR #
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CONTRACTOR ( , BG — 224 32 5850 1327
�J Lead _ 224 32 5853 1327
S'L ( o , J i? . HOME 224 32 5870
ADDRESS EDI — 224 32 5851
Other
!n 11-rr i IA so o3 -- 11 —CITY, STATE, ZIP PROJECT CODE
OWNER IJ BG
ADDRESS '`1 I S M U l Lerr. S''�. HM
I
CONTRACT DATE K1 - o v9 S To_k. Other
DESCRIPTION Iu f lay le- e,v 0 DATE OF BILL 1 " IS " 1 d
INVOICE NO. 00 i O -1 5
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ (,, 3 I q G `"'3
CHANGE ORDER NUMBERS $ 0 . 0 0
TOTAL CONSTRUCTION COST $ (, 3r q 65. "16
LESS AMOUNT PREVIOUSLY PAID $ RI C) 3(o. sl5
BALANCE STILL IN CONTRACT $ I S 4 9 a 'i . d 5
PAYMENT REQUESTED $ 13 I OU . ('o
LESS 10% RETAINED $ to 1O - `
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 COMPLE D BY ,-.AFF 'ECIALIS
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE