HomeMy WebLinkAboutPAY ESTIMATE - WATERLOO WATER WORKS PAY ESTIMATE NO. VENDOR#
tAi(AL'r I Lv JOQk,s EXPENSE CODE
CONTRACTOR BG —224 32 5850 1327
Lead _ 224 32 5853 1327
=` 1(c,F rn. -. j4 HOME 224 32 5870
ADDRESS EDt —224 32 5851
Other
CITY, STATE, ZIP PROJECT CODE
OWNER C BG
ADDRESS tC S+ • HM
CONTRACT DATE Ci C - P-00 g Other
DESCRIPTION r akt \,,N1 ire ,' I� �rzr. DATE OF BILL 11 I3 0 2
fLa-4, ity ;/\ . :Vfo f oy a C'), .4- (141"�/p INVOICE NO. Q Q (-0 Q0 h - I�
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM
CHANGE ORDER NUMBERS $
TOTAL CONSTRUCTION COST $ C C
LESS AMOUNT PREVIOUSLY PAID $
BALANCE STILL IN CONTRACT $ f t)0
PAYMENT REQUESTED $ „) o
LESS 10% RETAINED $
TOTAL DUE CONTRACTOR THIS ESTIMATE $
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.
DATE COMPL E BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE