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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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920198.tiff
312- SUPOJNIRACTOR9 APPLICATION FOR PAYMENTT INVOICE # 2605 CORMAN MECHANICAL CONTRACTORS INC. DATE: 1/28/92 1611 37th ST. JOB # : 428 EVANS. CO 80620 TO : WELD C(X1NIY ACCOUNTING P.O. BOX 758 GREE3.EY, COLORADO 80631 PROJECT DE3CRIPTION : CHILDHOOD DEVELOPMENT SERVICES IINC. PURCHASE ORDER NO. : 103256 PAYMENT REQUEST NO. : TREE PERIOD : 1/01/92-1/31/92 ORIGINAL Ct)NTRACT AMOUNT $13,960.00 APPROVED CHANGE ORDERS • 1. HOOK UP (3) CLASSROOM SINKS. $440.04 2. RUN DOMESTIC WATER LINE TO NEW RESTROOMS. $207.15 3. REMOVE & RESET TOILETS FOR NEW TILE. $617.99 4. INSTALL DRINKING FOUNTAINS. $220.00 5. RUN NEW WATER LINES TO CLASSROOMS. $580.'1.3 6. FURNISH & INSTALL 22x33 STAINLESS SINK.FAUctT & 1/2 $496.00 H.F. GARBAGE DISPOSAL IN CLASSROOM. NET CHANGE BY CHANGE ORDER $2.561.31 • ADJUSTED CONTRACT AMOUNT $16.521 .31. GROSS AMOUNT COMPLETED TO DATE $13.320.00 LESS PRIOR GROSS BILLINGS $6.360.00 CURRFNr -MONTHS' BILL , $6,960.00 PLUS PRIOR BILLINGS Nor PAID $0.00 1`, TOTAL AMOUNT DUE1 $6 -- _. Chairman, and of Cou t/ Co- ne REMAINING c ONIRACT bAIANCT . . . (A—B) $3.201.31 ATTEST:�� WHEREAS, the undersigned OJRMAN MB.)IANICAL CON1RAClORSINC. OF EVANS. . n, -•r rLE':`ti' D ^. .•N . TC THE BOARD Colorado, has furnished. labor. materials. or both forr the proiec$ F: located at 3819 ST. VRAIN EVANS, COIARADO 80620 BY: DE-t1IY ,,LERK TO THE BOAfaL NOW. THE1?ERJRE. the undersigned, for and in consideration of 0,3/0a/9,:; $6,960.00 upon receipt of which we do hereby waive and release any and all lien. or claim or right of lien on the. said project (n account of labor and materials furnished by the undersigned to or for =,--said project to the date hereof. H920190 a Dated 01/26/92 Mf1CWWI NC. CORMAN MECHANICAL CONTRACTORS • 1611 37th St. EVANS, Co 80620 1303) 330-2216. cr Extra Work Authorisation Number C.O. a 4 Project CDD Date / / 7-94.2. Contract No. To: n1.S 311.1 11JU.S ❑ Subcontract—Deduct from Pay Estimate ❑ Vendor•Deduct from Invoice In ,Outside Sales or Work— Invoice • Description of Work Done R'rnoUE 7-0iLE73 ' RESE7—. Tbi. ,JELJ T7LE Mew Mary Rate Detail of labor as s p . : ' Equipment: Materw labor Total Equipment or Materials Quantity Unit Peke` Cost Coot Cost Amount l3nui Lo AV /p r . 3'b 7bILET •'L nit r PA;i . :70/3. 7 5q 7 47 fmEe ►r ld snaN Rn -nu Wiz.: v•• 1 9 077g to A7 -o "To/L.T E i s 2. ?) 39 • 4(, 7S q!' n • 4`tau y • • subct)ntractoi Costa fir .:14.7A.::";' .. ....0T _ • 2 ARC • 3 REG . 5 or. OZLa c2)4.;:, 93 1ff s37 10 tvx of 68 b/ oak) o2S REG , 5 or a1.5 a4 73 .5. 37 /0 W) 30 3r C-�A,2N i�,ZtZ ��- •r Z� 37 I° ILI 20 Subtotals 34/ RI PayrolnAdilOn(© "X9e'Labor Cost Smit Todt-and Supplies ® (96 Labor Cost a,Taz® ',. sal Coat, r1=• $y ,., w , OVerh °f 0`Ye, • 544, is ��' �' ',.h J°I 7 vA4, Sri' . ,,F r+e Total Amount' x `, ) • • G1-7 SA Accepted By ',•sn x7 may... * 7 � CORMAN MECHANICAL CONTRACTORS .;` 1611 37th St. EVANS, CO 80620 ,,z a,•; (303)330.2216 Extra Work Authorization Number C• D. # 7 Project C 0 sr Date Contract No. To: Oo,n l5 i tl ,,.t,., > ❑ Subcontract—Deduct from Pay Estimate ❑, Vendor-Deduct from Invoice ❑,0uteide Sales or Work— Invoice Description of Work Done RA tv‘ 2e.4at 11 tL t.,t1 rya -4Ca. ,,t4'0..,• r )lours Mmrty 11nN Detail el Labor Labor Total Equipment or Materiels QuQuantity "unit Price Cost Mated* Cost Amount O 7r_t n I r"el 'qD,...n-hr.•i, h s /OO CO " • • • Subcontractors Costs nr. • • ITL .;." . • • Subtotals • FaySLAt dOncesm"49L"Labor Cost 's c ii Rd'$I plies ® ` . % Labor Cost ' Ttiitar "a(ltxia Coat^.'7 0{ 0 0O • , Y t� . • Total AmounR(Crndl ) t a2'4 O o Accepted 8Y VI?* , " , ' . PAGE r CORtN MECHANICAL CONTRACTORS . 1611 37th St. EVANS, CO 80620 a 303) 330.2216 Extra Work Authorization Number Co. 436-8 Project LM.SL Date Contract No. t To: A,1/4.1 /LL/4C-7.5 ❑ Subcontract—Deduct Iran Pay Estimate 0 Vendor •Deduct from Invoice 0 Outside Sales or Work — Invoice Description of Work Done Runt !J Et Ld ATER L1 n) CS TO CLAS SROcm Ilct ada,r) Mows Hooey Rate Detail of Labor of or Equipment Material Labor Total Equipment or Materials Quantity Unit Price Cost Cost Cost Amount / a ittu uC LLM- / // SL' ii 5 3/4 5u- p° 2 3 / 1/ 3 3/4 iMairt- I Q 05 c US 3/y Sui Fze / / 'M / 17 3/41 x -3/4 x /4T -/-a. / • / 01 / c" 3A1 .5tAi 45° a- / a / . ,,z v 1 4S° a- X 31 (v 6.2- / " 5 L 90 a. / 3 4•y 1 '' M CoPPE . RD 1 /° 3 ov .b/ m coppr 60 791 • L)3 2O 5L3 (tree __,_ 9M / '.8q Subcontractors Costs Or 6274,2y n'r' 44.S .37 ILL, 95 nit cis DAN oT y.S 3'7 la 11;2095 /tot CS Ay_ 02 TOTAL IS 01 Subtotals -70-AL 507 .3 Payroll Add-0ns ® X% Labor Cost _ Small Tools and Supplies s X % Labor Cost Tax 5 X to Material Cost Subtotal Overhead ® 10% 5l 'H Subtotal Fee ® % Total Amount • ) 4 58c i 3 Accepted By issued By ` /uW CO?EVAN MECHANICAL CONTRACTORS . 1611 37th St. EVANS, CO 80620 303) 330-2216 Extra Work Authorization Co # d p Number Project C 0 5X- Date Contract No. To: B.:\ ( ❑ Subcontract— Deduct from Pay Estimate O Vendor-Deduct from Invoice C. Outside Sales or Work — Invoice • Description of Work Done Hews Newly Rate Detail of Labor or or Equipment Material Labor Total Equipment or Materials Quantity unit Prig Cost Cost Cost Amount - lit re.petit_ Le.s 9 cz got 7 34. /0` — 3/x RkI *ker.-e.A oW ,2p° rP - 3/g fIo..4- Btmck-C-(•S 1/ 5 C. • • • • Subcontractors Costs • Subtotals Payroll Add-Ons ® • % Labor Cost _ Small Tools and Supplies ® % Labor Cost Tax % Material Cost Subtotal Overhead s % Subtotal Fee ® °A Total Amount (Credit CC NO. Accepted By Issued Sy
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