EFTA01123619.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Flagpole Pool #1013 September 26, 2011 Trade: Pools Requisition #6 Subcontractor Virgin Islands Gunite Pools Insurance ex iration: Ma 14, 2012 nvoice # Requisition #6 Partial Final Phase # 13-150 X Original Contract Sum: $200,000.00 Change Orders Submitted & Approved: $25,213.44 New Change Orders: $0.00 Total Work Contracted to Date: $225,213.44 Total Work Completed to Date: 93% $210,471.25 Less Retainage: $0.00 Total Payments Made to Date: $170,471.25 Total Current Payment Due: $40,000.00 Balance to Finish including Retainage: $14,742.19 Sales Tax Liability: a. Subcontractor/Supplier is liable, explaii Labor and materials b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping incl. Total Outlays for this contract incl. Sales or Use Tax: $210,471.25 ,V) JEE approval attached Invoice Attached YES NO YES NO X Submitted Bill Approved by: Gary Signed: Signed: Date: September 26, 2011 Da : September 26, 2011 Approved by: Emad Approved/by: Signed: Signed: Date: Date: EFTA01123619 LSJ CONSTRUCTION Project Flagpole Pool #1013 :ontractor - full legal name: Virgin Islands Gunite Pools Date Revised: September 26, 2011 Phase # 13-150 Trade: Pools Invoice #: Requisition #6 Insurance expiration: 5/14112 Payment Partial Final X Invoice/Reg# Date C/O Amount Retainage Due Paid Date Paid Check# Balance Contract 02/02/11 Pool 200.000.00 CON1 06/29/11 Change plaster 10.471.25 CO#2 09/06/11 upgrade board 9017.75 CO#3 09/06/11 Lighting 1460.44 CO*4 09/06/11 Cartridges 2.264.00 CO#5 Requisition #1 02/15/11 Deposit 40.000.00 0.00 40000.00 40000.00 0.00 Requisition #2 03/02/11 Steel Complete 40,000.00 0.00 40.000.00 40000.00 0.00 Requisition #3 03/22/11 Gunite Complete 40,000.00 0.00 4000000 40.00000 0.00 Requisition #4 06/10/11 Tile Complete 40.000.00 0.00 40.000.00 40.00000 000 Requisition #5 07/11/11 Change plaster 10.471.25 0.00 10,471.25 10.471.25 0.00 Requisition #6 09/06/11 Progress 40.000.00 0.00 40.000.00 40.000.00 Total 210.471.25 0.00 210,471.25 170471.25 40.000.00 Contract Amount - Phase contract Pool 200.000.00 CO#1 Change plaster CO5 10.471 25 CO#2 upgrade board 9.017 75 CO#3 Lighting 3.460 44 CO#4 Cartridges 2.264 00 CO#5 Contracted To Date 225.213.44 Balance of Contract w/Retainage 14.742.19 EFTA01123620  „ Lake Havasu Gunite and Concrete/Virgin Island Gunite Pools I r ' DATE Invoice INVOICE # ‘) 2t)I I 1011 TERMS DUE DATE Net 30 10/06/201 1 BILL TO AMOUNT DUE ENCLOSED 560,206.19 cle13O1 lop 'Nunn/. and whom %%ill. your payment chi- -wig Activity Amount • Final balance due upon start-up and use 40,000.00 • Change order #3 - Upgrade to 14 11. diving board 9,017.75 • Change order #8 - &-12V lights 3,460.44 • Addition • 6 LED pool lights, controllers, and transformers 5,461.00- ' • Addition - 16 new cartridges for clean and clear 520 sq. ft. filters 2,264.00 • Manifold bottom/pipe assembly - bulk head unions, O rings and labor to repair pool equipment caused by dead 0.00 heading equipment Project: Flagpole Pool #1013 ri llenTfr owl , 110000 -FSku Vir,q4 ‘ . EFTA01123621