Electronic Submission Now Available: Click here for update to disbursement procedures
Online Fund Payment Request Form
Akron
Sevilla Trunk Sewer Reconstruction
Disbursement Request:
(#'s only)
Payee:
Invoice Number:
Invoice Date:
(mm/dd/yyyy)
Total Invoice Amount:
(#'s Only, 0.00)
Invoice Amount to be paid by OWDA:
(#'s Only, 0.00)
Disbursement Request Detail
Contractor Name
Encumbered
Disbursed
Balance
Requested
Amount
A
H.M. Miller Construction
$4,329,186.11
$2,705,302.23
$1,623,883.88
CO
Contingencies
$820,180.39
$0.00
$820,180.39
0.00
TS1
Administration
$5,000.00
$0.00
$5,000.00
TS3
Construction Management
$99,425.50
$0.00
$99,425.50
Total:
$5,253,792.00
$2,705,302.23
$2,548,489.77
0.00