Electronic Submission Now Available: Click here for update to disbursement procedures
Online Fund Payment Request Form
Akron
Uhler Conveyance (Rack 27 and 29)
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
Thomarios
$7,432,587.00
$5,116,848.62
$2,315,738.38
CO
Contingencies
$802,502.00
$0.00
$802,502.00
0.00
TS1
Administration
$5,000.00
$0.00
$5,000.00
TS2
Inspection
$166,714.00
$0.00
$166,714.00
0.00
TS4
Design
$1,043,109.39
$1,034,109.39
$9,000.00
Total:
$9,449,912.39
$6,150,958.01
$3,298,954.38
0.00