HomeMy WebLinkAboutPAY ESTIMATE INVOICE 0910471 PAY ESTIMATE NO. q VENDOR #
Op vU, ;ser C on, L 10 EXPENSE CODE
CONTRACTOR BG _ 224 32 5850 1327
I �-� c Lead 224 32 5853 1327
C i)rut mf r c i 1 St-. HOME 224 32 5870
ADDRESS EDI _ 224 32 5851
\t,101 ,,A ► IA ssl
Other
CITY, STATE, ZIP PROJECT CODE
OWNER CJ 1 BG
ADDRESS u1 HM
CONTRACT DATE i S L - Go - u 3 - 0 3 - C) g Other G. v .
DESCRIPTION 93fri `�' ^ ^n S . r�rwo h'I( / DATE OF BILL ) - I L' i0
Dr--1) c , Tr INVOICE NO. 01 i o '-) '1
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ I aO) .
CHANGE ORDER NUMBERS $ 5rei. `191.
TOTAL CONSTRUCTION COST $ i W ¶ , 1 9'7.
LESS AMOUNT PREVIOUSLY PAID $ I '11 I , `7 a
BALANCE STILL IN CONTRACT $ b o, 9 a S• ? '
PAYMENT REQUESTED $ I O
LESS 10% RETAINED $ 1l + a
TOTAL DUE CONTRACTOR THIS ESTIMATE '1 "
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.
7 (�
DATE COMPLETED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE