EFTA00606490.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Master Suite #1004 January 10, 2011 Trade: Granite Countertops Requisition #01 Subcontractor Virgin Islands Granite & Marble Insurance ex 'ration: January o. 1900 Invoice # Requisition #01 Phase # 12-310 Original Contract Sum: $1,870.85 Change Orders Submitted & Approved: $0.00 New Change Orders: $0.00 Total Work Contracted to Date: $1,870.85 Total Work Completed to Date: 50% $935.43 Less Retainage: $0.00 Total Payments Made to Date: $0.00 Total Current Payment Due: $935.43 ✓ Balance to Finish including Retainage: $935.42 Sales Tax Liability: a. Subcontractor/Supplier is liable, explaiiinstall only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping None Total Outlays for this contract incl. Sales or Use Tax: $935.43 JEE approval attached invoice Attached YES NO YES NO X X Submitted Bill Approved by: Gary Signed: Signed: Date: January 10, 2011 Approved by: Emad Approved by: Signed: Signed: Date: \ \\ CA\\ Date: EFTA00606490 EFTA00606491 EFTA00606492 Emad Hanna From: Eve Febe Sent: Tuesday, January 11, 2011 12:40 PM To: Emad Hanna Cc: Monique Harry Subject: VI Granite & Marble Req# 01 1004 Attachments: VI Granite & Marble Req. #01 1004.pdf Good Afternoon Emad, Attachment for your payment VI Granite & Marble Req. #01. In the amount of $ 935.43. Project 1004 Code 12- 310. Eve 1 EFTA00606493