Form 734-2882 "Paid Summary Report" - Oregon

What Is Form 734-2882?

This is a legal form that was released by the Oregon Department of Transportation - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2020;
  • The latest edition provided by the Oregon Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 734-2882 by clicking the link below or browse more documents and templates provided by the Oregon Department of Transportation.

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Download Form 734-2882 "Paid Summary Report" - Oregon

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PAID SUMMARY REPORT
1. PROG EST NO. / INVOICE NO.
This summary report is required for all projects even if there are no goals or aspirational targets assigned
Please read instructions before completing this form
2. PROG EST/INVOICE DATE PAID
Contractor and contract information
3. CONTRACTOR NAME
4. SUBCONTRACT ID
5. AGENCY CONTRACT NO.
6. PROJECT NAME
7. REPORT DATE YYYYMMDD
8. NEW / REVISED 9. REV. NO.
FINAL
0
Subcontractor/subconsultant paid
SUBCONTRACT INFORMATION
THIS PERIOD
TO DATE
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
SUBCONTRACTOR / SUBCONSULTANT PAID
PAID TO
SUBCONTRACT
DBE COMMITTED
BID /TASK ITEMS
RETAINAGE
RETAINAGE PAID
TOTAL AMOUNT
DATE PAID
AMOUNT PAID
COMMITTED
SUB ID
AMOUNT
AMOUNT
PAID
WITHHELD
PAID
TO DATE
BALANCE
(THIS PERIOD)
THIS PERIOD
$0.00
$0.00
Submission
By entering my name in the signature block(s) below, I certify that the information contained in this report is true and accurate to the best of my knowledge, and that I am
authorized to submit this report on behalf of this firm. I further agree that typing my name in the signature box and submitting this report using a password-protected e-mail
account is the equivalent of a manual signature for the purposes of this form.
21. NAME OF PERSON SUBMITTING REPORT
22. TITLE
23. PHONE
24. DATE
SUBMIT BY E-MAIL
734-2882 (5/2020)
Page 1 of 1
PAID SUMMARY REPORT
1. PROG EST NO. / INVOICE NO.
This summary report is required for all projects even if there are no goals or aspirational targets assigned
Please read instructions before completing this form
2. PROG EST/INVOICE DATE PAID
Contractor and contract information
3. CONTRACTOR NAME
4. SUBCONTRACT ID
5. AGENCY CONTRACT NO.
6. PROJECT NAME
7. REPORT DATE YYYYMMDD
8. NEW / REVISED 9. REV. NO.
FINAL
0
Subcontractor/subconsultant paid
SUBCONTRACT INFORMATION
THIS PERIOD
TO DATE
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
SUBCONTRACTOR / SUBCONSULTANT PAID
PAID TO
SUBCONTRACT
DBE COMMITTED
BID /TASK ITEMS
RETAINAGE
RETAINAGE PAID
TOTAL AMOUNT
DATE PAID
AMOUNT PAID
COMMITTED
SUB ID
AMOUNT
AMOUNT
PAID
WITHHELD
PAID
TO DATE
BALANCE
(THIS PERIOD)
THIS PERIOD
$0.00
$0.00
Submission
By entering my name in the signature block(s) below, I certify that the information contained in this report is true and accurate to the best of my knowledge, and that I am
authorized to submit this report on behalf of this firm. I further agree that typing my name in the signature box and submitting this report using a password-protected e-mail
account is the equivalent of a manual signature for the purposes of this form.
21. NAME OF PERSON SUBMITTING REPORT
22. TITLE
23. PHONE
24. DATE
SUBMIT BY E-MAIL
734-2882 (5/2020)
Page 1 of 1