HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8920 J()(1cr1- 1J a (a)
PAY ESTIMATE I p� � Sf. _ VENDOR #
EXPENSE CODE
CONTRACTOR BG — 224 32 5850 1327
Lead _ 224 32 5853 1327
3Z3 ��01't,e_ b/AJ e • HOME 224 32 5870
ADDRESS EDI 224 32 5851
` J Other
WaI441cit) 501)03 -CITY, STATE, ZIP PROJECT CODE
OWNER BG
ADDRESS `1 t In11/4A.I6-,v HM
CONTRACT DATE ` '` • 4 -0 Other
DESCRIPTION 14l� u- r 1_. v--0 DATE OF BILL L' `} - 0 7
INVOICE NO. 0a
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ I SG
CHANGE ORDER NUMBERS $ i(,, ']sn
TOTAL CONSTRUCTION COST $ �S, q Q(
LESS AMOUNT PREVIOUSLY PAID t .1 3 S
BALANCE STILL IN CONTRACT $
PAYMENT REQUESTED $ (,� L I S, °")
LESS 10% RETAINED $ h I �
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. II
Co oq
DATE COMPL T BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE