HomeMy WebLinkAboutPAY ESTIMATE - QUICK CONSTRUCTION PAY ESTIMATE NO. r(r. noI - ti.a;n4CkQ-, VENDOR#
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CONTRACTOR f- BG _ 224 32 5850 1327
a2-s Sk• Lead _ 224 32 5853 1327_,
HOME _ 224 32 5870 ---
ADDRESS EDI o 224 32 5851
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CITY, STATE, ZIP PROJECT CODE
OWNER -� BG
ADDRESS 1�� MtAi�oerf ST ' HM
CONTRACT DATE Vic, CoOl v v -2--1O or Other GUI I)e Shkre_.
DESCRIPTION Pa -ir) DATE OF BILL % q" 0r
11 �
&cwt. � INVOICE NO. '—
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ II SOC,•
CHANGE ORDER NUMBERS $
TOTAL CONSTRUCTION COST $ I( . 00•
LESS AMOUNT PREVIOUSLY PAID $ / Q 50, LO
BALANCE STILL IN CONTRACT $ ! I CO- "1
PAYMENT REQUESTED $ I l I So,
LESS 10% RETAINED
TOTAL DUE CONTRACTOR THIS ESTIMATE $ l , I SO
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.
J9 L4A
DATE COMP T BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE