HomeMy WebLinkAboutPAY ESTIMATE INVOICE 774912 PAY ESTIMATE NO. VENDOR#
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CONTRACTOR 11/ BG — 224 32 5850 1327
Lead _ 224 32 5853 132i
2 ,: ': cay r��m�� ( HOME 224 32 5870 -�'` --;'
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ADDRESS / EDl 224 32 5851
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CITY, STATE, ZIP PROJECT CODE
OWNER C ,) LJa L I c, BG
ADDRESS '1 ► `� t 4 u I Lil fit"-. HM
CONTRACT DATE 'b __ D - Go C'1' 2- 0 0 1 Other
DESCRIPTION czgq Gw,, �, �e r DATE OF BILL in -fir - L 1
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INVOICE NO.
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ ` Q; (46C>�. G
CHANGE ORDER NUMBERS $ rl Cli P,
TOTAL CONSTRUCTION COST $ 14 9, U.. c
LESS AMOUNT PREVIOUSLY PAID $ i "", q,aO oa
BALANCE STILL IN CONTRACT $ 34, $ &-
PAYMENT REQUESTED $ at I cti , c
LESS 10% RETAINED $ ) I I ci, cc
TOTAL DUE CONTRACTOR THIS ESTIMATE $ 1 q' , 0'7 2 .
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.
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DATE COMP ETED B STA PECIALIS
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE