Payment Request Form for Construction
Company Name
BuildPro Contractors
Form Reference Number
PRFC-2024-005
Date of Request
December 20, 2024
Contractor Information
Name of Contractor: James Anderson
Company Name: Anderson Construction LLC
Contact Details:
- Phone: +1-456-789-0123
- Email: james.anderson@andersonconstruction.com
Project Information
Project Name: Skyline Tower Development
Project ID: ST-2024-456
Project Location: 789 Highrise Avenue, Metropolis, NY, 10001
Payment Details
Payment Milestone: Completion of Foundation Work
Amount Requested: $50,000
Currency: USD
Invoice Number: INV-2024-789
Purpose of Payment: Payment for completed foundation work as per the approved construction agreement.
Payment Due Date: December 30, 2024
Supporting Information
Attached Documents:
- Signed Work Completion Certificate
- Invoice #INV-2024-789
- Photos of Completed Work
- Approved Project Schedule
Authorization Section
Requested By:
- Name: James Anderson
- Signature: _______________________
- Date: December 20, 2024
Approved By:
- Name: Rebecca Turner
- Signature: _______________________
- Date: December 21, 2024
Remarks/Comments
Payment requested to cover material costs and labor expenses for the next project phase.
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