Electronic Submission Now Available: Click here for update to disbursement procedures
Online Fund Payment Request Form
Akron
Enhanced Raw Water Pre-Treatment Facility
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
Workman Industrial Services, Inc.
$5,846,502.77
$5,088,664.52
$757,838.25
CO
Contingencies
$276,337.13
$0.00
$276,337.13
0.00
OW
OWDA Fee
$91,891.00
$91,891.00
$0.00
0.00
TS2
Inspection
$349,610.00
$349,610.00
$0.00
0.00
TS4
Design
$334,273.00
$331,586.22
$2,686.78
Total:
$6,898,613.90
$5,861,751.74
$1,036,862.16
0.00