HomeMy WebLinkAboutPAY ESTIMATE INVOICE 9012 PAY ESTIMATE NO. VENDOR #
-Q.k r :tin c-I6" t I pot �. .; EXPENSE CODE
CONTRACTOR BG _ 224 32 5850 1327
Lead 224 32 5853 1327-
1422 AsLio,ct Asic_ . HOME 224 32 5870 =_
ADDRESS ED! 224 32 5851
Other
iA So'io3 --CITY, STATE, ZIP PROJECT CODE
OWNER BG
ADDRESS 7 +a /'1 l x mi HM
J
CONTRACT DATE c 1 Other fie^ 01.1,04+
DESCRIPTION au use cis O DATE OF BILL i! " 1 I - i
INVOICE NO. t)i
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 9./0100
CHANGE ORDER NUMBERS $ h
TOTAL CONSTRUCTION COST $ �', )QU, +�
LESS AMOUNT PREVIOUSLY PAID 0 . 06
BALANCE STILL IN CONTRACT $ 9, BOO
PAYMENT REQUESTED $ 9 , 2,0 0
LESS )0% RETAINED $ L460,
TOTAL DUE CONTRACTOR THIS ESTIMATE $ ` ; 7 '1 G . ``'
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. -'
- i'7 0 1 ( A-i
DATE CO E .ED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE