HomeMy WebLinkAboutPAY ESTIMATE INVOICE 8918 PAY ESTIMATE NO. _/ VENDOR #
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CONTRACTOR BG 224 32 5850 1327
Lead 224 32 5853 1327
AP HOME 224 32 5870
ADDRESS EDI 224 32 5851
Other
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CITY, STATE, ZIP PROJECT CODE
OWNER (� I BG
ADDRESS 11 S iM er.� as HM
CONTRACT DATE 10 ` 6"U 3 Other h.O
DESCRIPTION t)usz c�e►�.t)�i DATE OF BILL (° -2 —O9
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q D C - I b �t - c'' INVOICE NO. ► ,I Ci ,1iJ94
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ q I go
CHANGE ORDER NUMBERS co,
TOTAL CONSTRUCTION COST $ ?,S, 9 o O
LESS AMOUNT PREVIOUSLY PAID $ I q I CO cn
BALANCE STILL IN CONTRACT $ 1 (,, —I S).
PAYMENT REQUESTED $ I(7 1 n1 SC)• `'°
LESS 10% RETAINED $ ` (, (
TOTAL DUE CONTRACTOR THIS ESTIMATE $ I Si C>i , ``t
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. )
TO- 9‘00 9
DATE COMPLETED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE