HomeMy WebLinkAboutPAYMENT ESTIMATE INVOICE 8843 PAY ESTIMATE NO. 3 VENDOR #
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CONTRACTOR J BG _ 224 32 5850 1327
Lead 224 32 5853 1327
Z)? ) I.<Gfik JP , HOME 224 32 5870
ADDRESS i EDI s 224 32 5851
yAN-P1 10, IA
Other
CITY, STATE, ZIP PROJECT CODE
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OWNER l�- BG
ADDRESS '1 A S f4 k I k e c r 1 -i"' HM
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CONTRACT DATE Other
DESCRIPTION u SE e 1 V I 7 LTA DATE OF BILL i! `I` 0 d
c-1 - im - (-, 0 _ r, 7 _ ) I. �, - INVOICE NO. 93
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ &ig 1 9-C_) ('- )
CHANGE ORDER NUMBERS $ 12 ! Z c,�j,
TOTAL CONSTRUCTION COST $ 11 1 1 3 C)
LESS AMOUNT PREVIOUSLY PAID $ 16, `1 S S.
BALANCE STILL IN CONTRACT $ L-/ , t,, 1 5
PAYMENT REQUESTED $ '1 1 SO
LESS 10% RETAINED $ —11 S- 4`
TOTAL DUE CONTRACTOR THIS ESTIMATE $ L r 9 S. 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. -----P _l
2 -A3 - 0 �i 0\ J `..
DATE COMPLETED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE