HomeMy WebLinkAbout0850-72_Sewer Improvement 8333 AlderPAYEE:
ADDRESS: �3 AkMil
CITY:
CITY OF FONTANA
PAY VOUCHER
This pay voucher is to be used only when general obligations checks are to be
issued and normal purchase order and invoicing procedures cannot be followed.
Regular meetings of the City Council for consideration of pay requests against
the City of Fontana are held on the FIRST and THIRD Tuesday of each month.
Avtzt:0 0013 -Al-e
foNTANIN CA gZ7/35
DATE: A-15I
DATE & TIME
CHECK IS
NEEDED A»P
Date
Items
��t'��C�SyE CEP IT i 9 46(5 6oty-AI11
tkw,
The above is a true and correct request
for payment against the City of Fontana
and no part of the same has heretofore
been paid.
APPROVED:
1
I Vendor # Invoice # Inv. Date
Amount
TOTAL #112'.'800,---
Account Number
FUND FUNCTION OBJ Amount
I I
I I
I
TOTAL
ni5oo
FINANCE USE ONLY
FILE
0$5- C72-2 )J,,
RECEIVED FROM
ADDRESS
City of Fontana Engineering Services Department
SUSPENSE DEPOSITS
(I
c cry
DESCRIPTION OF PROPERTY
PAYMENT FOR:
SIDEWALK
CURB & GUTTER
SHOULDER PAVING
OTHER
tee kr'
J1 To IId4(ICC 4-I5- 9
SOP Woo
DATE / - ' - �f
to Cc
SIGNED
OFFICE
()LIARS $
2437
DOLLARS S 2 fjOO
3TO
BOID/DEPOSIT RELEASE FORM FOR PUBLIC IMPROVEMENTS
PUBLIC WORKS DEPARTMENT
PROJECT DESCRIPTION: rtiaM Ct1 MAW fb r SIPEwa1-AV--
LOCATION: 0 3 D73 4(--D.Kt'7„, =(cam r--
BUILDER: PHONE #:
ADDRESS:
IMPROVEMENT CONSTRUCTED AND FIELD CHECKED:
STREET
SEWER
STORM DRAIN
COMMENTS:
INSPECTOR APPROVAL FOR RELEASE OF BONDS/DEPOSITS: YES
l5
4e-6/
Date