EFTA01123615.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Flagpole Pool #1013 16-Feb-11 Trade: Pools Requisition #1 Subcontractor Virgin Islands Gunite Pools Insurance expiration: May 14, 2011 Invoice # Requisition #1 Partial Final Phase # 13-150 X Original Contract Sum: $200,000.00 Change Orders Submitted & Approved: $0.00 New Change Orders: $0.00 Total Work Contracted to Date: $200,000.00 Total Work Completed to Date: 20% $40,000.00 Less Retainage: $0.00 Total Payments Made to Date: $0.00 Total Current Payment Due: $40,000.00 Balance to Finish including Retainage: $160,000.00 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: $40,000.00 JEE approval attached Invoice Attached YES NO YES NO X Submitted Bill Signed: Date: February 16, 2011 Approved by: Emad Approved by: Signed: Signed: Date: Date: EFTA01123615 LSJ CONSTRUCTION Project Flagpole Pool #1013 ontractor - full legal name: Virgin Islands Gunite Pools Date Revised: February 16. 2011 Phase # 13-150 Trade: Pools Invoice #: Requisition #1 Insurance expiration: 5114/11 Payment Partial Final X Invoice/Req# Date CIO Amount Retainage Due Paid Date Paid Check# Balance Contract 02/02/11 Pool 200.000.00 CO#1 CO#2 CO#3 CO#4 CO#5 • Requisition #1 02/15/11 Deposit 40.000.00 0.00 40,000.00 ' 40,000.00 Requisition #2 Steel Complete 0.00 0.00 0.00 Requisition #3 Gunite Complete 0.00 0.00 0.00 Requisition #4 Tile Complete 0.00 0.00 0.00 Requisition #5 Balance 0.00 0.00 0.00 Requisition #6 0.00 0.00 0.00 Total 40,000.00 0.00 40,000.00 0.00 40,000.00 Contract Amount - Phase contract Pool 200,000.00 CO# 1 - Description CO#2 CO#3 CO#4 CO#5 Contracted To Date 200,000.00 Balance of Contract w/Retainage 160,000.00 EFTA01123616  Lake Havasu Gunite and ConcreteNirgin Island Gunite Pools lake Ilavasu Gunite and Concrete Invoice DATE INVOICE # 02/15/2011 1002 TERMS DUE DATE Duc on receipt 02/15/2011 BILL TO AMOUNT DUE I ENCLOSED $40.000.001 Activity Amount • Move-In Draw 40,000.00 Project: Flagpole Pool #1013 TOTAL $40,000.00 EFTA01123617 Lake Havasu Gunite and Concrete / Virgin Islands Gunite Pools Bank Wire Instruction& Bank Information EFTA01123618