Electronic Submission Now Available: Click here for update to disbursement procedures
Online Fund Payment Request Form
Akron
Kelly Conveyance Rack 3
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
$1,645,962.75
$411,240.67
$1,234,722.08
CO
Contingencies
$320,559.80
$0.00
$320,559.80
0.00
TS3
Construction Management
$115,369.76
$0.00
$115,369.76
TS4
Design
$296,786.00
$16,748.86
$280,037.14
Total:
$2,378,678.31
$427,989.53
$1,950,688.78
0.00