HomeMy WebLinkAboutPAY ESTIMATE PAY ESTIMATE NO. 1 VENDOR #
b l.L) 2 ; (1 eR- Ccm� I K_ . EXPENSE CODE
CONTRACTOR C BG — 224 32 5850 1327
Lead 224 32 5853 1327
1 11 S CovtnYv,cru'a l R! P. 0. Eoc 39 S HOME 224 32 5870
ADDRESS EDI — 224 32 5851
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Other
1 al --7,�cl r IA • 5 2 '3S 1 — 6394 —CITY, STATE, ZIP PROJECT CODE
OWNER CA ABG
ADDRESS i i S M (-,I h;;y s-i - HM
CONTRACT DATE 3- 3 "C) A Other '-7 0 -
DESCRIPTION o fvvo ct (i31 '7 V , DATE OF BILL
I (� )
INVOICE NO.
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ %\O,, oOC) • °J
CHANGE ORDER NUMBERS $ U. o O
TOTAL CONSTRUCTION COST $ i 0 0.00 - `�
LESS AMOUNT PREVIOUSLY PAID $ 0 o a
BALANCE STILL IN CONTRACT $ 12,o, 0o0 . w
PAYMENT REQUESTED $ LI c. -7 50 , .--6
LESS 1.0% RETAINED $_ `f3 / • s°
TOTAL DUE CONTRACTOR THIS ESTIMATE $ ' (_p; 12 . r C)
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 _U 1 t � ndijv4
DATE COMPLETED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE