EFTA00616691.pdf

TSG TECHNOLOGIES, INC. 40-204-01-004 qik T SG MACOCG MAY DROP COutif 6501 Red Hook Plaza, Suite 201 St. Thomas, VI 00802 Little St James RO Customer Invoice Information Name Lafayette Contractors LLC Invoice Number 40.204.01.004 Attn: Attention: John Ameding Date 12/312007 Address 8100 Red Hock Quarter EI-3 Order No. City St Thomas TSG Contact Bob Petersen State USVI Zip 00802 Vendor No. Phone Phone Fax Fax Quantity Description Unit Price Extended Price CHANGE ORDER No.1 1 Furnish & Install 100 ft additional 8-in HDPE pipe for intake $1.500 00 $1,500.00 1 Furnish & install buried 8-inch Asahi gate valve $1.952 00 $1,952.00 1 Remobllization to site for start up & training 53.087.00 $3.087.00 Subtotal $6,539.00 Shipping and Handling Taxes 30.00 Total Invoice amount $6,539.00 Payment Due within 30 days of Invoice Date, After 30 days, a service charge of 1.5% per 30 days will be applied to unpaid balance Please Remit Payment to TSG Technologies, INC. 6501 Red Hook Plaza, Suite 201 ST. Thomas, VI 00802 L6 PA-0--i-ea' 4r 33 3 EFTA00616691 Emad Hanna —ant: Tuesday, December 04, 2007 12:25 PM To: Finad Hanna Cc: Subject: Fwd: FW: Final Invoices Attachments: FW: Final Invoices Emad, The change order is revised to acknowledge as in our opinion we pointed out that some of the costs we were being charged for as extras were contract costs . Assuming previous payments totaled $172,277.00 Payments on account of contract in the amount of $30,245.00 and change order number one in the amount of $6,539.00 are appropriate to be made at this time in full and complete payment for the work. I note that Amerling requests checks and commits to obtaining close out documentation. Please insure you obtain timely receipt of close out documents. It is particularly important that precedent be set that timely receipt of all relevant close out documents be received by your office. All to often this practice is ignored and the copies with contractors or in field go missing and are not available as and when required. . suggest you require a close out document log from Lafayette to manage this process. Charles Check out AOL Money & Finance's list of the hottest products and top money wasters of 2007. EFTA00616692  Emad Hanna crom: John Amerling ant: Wednesday. November 14. 2007 9:57 AM fo: Emad Hanna Cc: William Rowles% 'Bob Petersen.; 'Dan Chipman'; Charles Miller Subject: LSJ Change order No. 1RevC - 92807.doc Attachments: LSJ Change order No. 1RevC - 92807.doc; ReMobilizationlnvoice92807.xls Yesterday, Dan, Bill and I had a close out conference with TSG's Bob Peterson. TSG has met its punch list requirements and the plant is fully operational. The work resulted in some additional changes which are listed in the enclosed change order request which is in order for payment. Let me explain the changes fully: 1. The first item, additional pipe, $1500, covers realignment of some of the pipe to accommodate actual conditions encountered in the field in routing the pipe from the end of the dock and up through and from the pumps station; the original proposal was based upon 150 lineal feet which was an initial guess as to how the routing was going based upon the unknown, existing lines under ground, a pump station location, among other things which changed from its original location, changes in the line feeding the current RO plant which had to be integrated into the system and so on; the price pre lineal foot for labor and materials of $15 is fair and reasonable. 2. The second item, $1952 for the gate valve, was for a valve requested by Dan and Aaran for handling current and future needs more efficiently; it was not part of the original package and is needed for the permanent system which is in the process of being constructed. 3. The third item is extra engineering necessitated by the return of an engineer to the island to complete commissioning work; this occurred due to changes to the short and long term distribution configuratio n on the island which in turn changes as we added, then subtracted temporary housing, at the client's request, and changed the overall schedule the building sequence on the island; the resulting changes in switches, transformers, and panels at the wood shed, among other areas led to some shipping delays which prevented powering up and commissioning from proceeding simultaneously; The charge covers 16 hours of engineering time on site, travel and per diem as shown in the attachment. I believe that 20% of the original contract was retained. It should be released along with this payment. This engagement is an island, engagement, not Lafayette but I am sending a copy of this to Charles for his information. Yesterday you also asked whether Mike Glidden's check should be released. I spoke with him yesterday. The check, as I understand it, is for some $27,000. That is in order for payment as well. EFTA00616693  TSG WATER RESOURCES, INC. 40-204-01-003 T81 Customer P.O. BOX 15967 SAVANNAH, GEORGIA 31416 FAX Invoice Information Name Lafayette Contractors. LLC invoice Number 40404-01.003 on behalf of L.S.J., LW Date 'I1/14/2007 do Financial Trust Company Order Number Na Address Red Hook Quarter 8-3 TSG Contact Mike Maio City/State St. Thomas USVI Zip 00802 Phone Fax Quantity LDestalation Unit Price Extended Price 100% Final payment per contract due on Little St. James 25K gpd RO plant. $30253.00 $30253.00 Final Completion Original Contract Amount 5202.530 Less Previous Payments Received {$172.277) Total Oue this Invoice $30.253 Subtotal $30,253.00 Shipping and Handling $0.00 Taxes $0.00 Total invoice amount $30,253.00 Payment due via wire upon receipt. Wire information: TSG Technologies, Inc. Darby Bank routing number LSS Account number FL14/ 4+ 4*-1: 33 151-414m-tt akt P-01-rrv„,Atin fora- EFTA00616694  Emad Hanna 1m: John Amerling _ Tuesday. November 27, 2007 3:45 PM To: Emad Hanna Cc: Rich Kahn Subject: RE: LSJ Change order No. 1RevC - 92807.doc Just to The warranty is in the contract and attached proposal both of which are on file her. The insurance certificate is on file here as is the business license. Dan will have to sketch the actual run of the underground lines since this was not part of the TSG contract. Since the RO came in a container and its configuration is shown in the contract and attached proposal. The Operation and Maintenance Manuals are on the island. I will clear up the change order issue tomorrow morning. From: [mailto Sent: Tuesday, November 27, 2007 4:25 PM To: Sohn [email protected]• Cc: Subject: Re: LS) Change order No. 1RevC - 92807.doc Emad, I reviewed the proposed change order ($6,787.00) with John and voiced my concern that some of the field time hours and some of the Lodging and Per Diem were expended for contracted work and not a proper charge to client. ' 'hn agreed to review this matter with TSG Upon his review and hopefully adjustment I can then provide my approval of that portion of the Invoice 40-204-01-003 dated 11/14/07 _ % I can approve payment on the base contract invoice in the amount of $37,040.00 less the CO to be reviewed in the Kamount of $6,787.00= $30,253.00 -- -- - - - - — - - Please prior to close out payment insure you receive for your records Lien wavier Certificate of insurance Warrantee and guarantee Operation and maintenance manuals As built plans any other additional close out documentation your office typically requires. Charles Check out AOL Money & Finance's list of the hottest products and too money wasters of 2007. EFTA00616695  TSG WATER RESOURCES, INC. 40-204-01-002 P.O. BOX 15967 SAVANNAH, GEORGIA 31416 FAX Customer Invoice Information Name Lafayette Contractors, LW nvoice Number 40-204.01-002 on behalf of L.S.J.. LLC Date 6/25/2007 c/o Financial Trust Company Order. Number n/a Address Red Hook Quarter 8-3 TSG Contact Mike Maio Cily/Statal Zip 00802 Phone Fax Quantity Description Unit Price Extended Price 100% Payment two of three due on Little St. James 25K gpd RO plant 571 012 00 571 012 CO Equipment ready to ship. Total contract price is $202.530.00 First payment for $101,265.00 has been received. Thank you. Subtotal $71,012.00 Shipping and Handling $0.00 Taxes $0.00 Total invoice amount 571.012.00 Payment due via wire upon receipt. Wire information: TSG Technologies. Inc. Darby Bank routing number Account numbal EFTA00616696  CSC SAFETY SURVEY THIS IS TO CERTIFY that William Vargas, a trained survey inspection technician, inspected the below referenced ISO container and found it to be water-tight, the corner castings are square, and it is sufficiently structurally sound to meet the rigors of an ocean voyage. 04-Fr NO.: Ct.HU 3 7 62/ - 5- PARTY REQUESTING SURVEY': •45 1 LOCATION OF INSPECTION: / 40 ,e,,, 4560C . FLORIDA THE CONTAINER IS: (arg) (O t fit) to carry gteral cargoes. LENGTH OF UNIT: (20' (40' O ) jothet O: DR'? VAN CONTAINER: (steel j (aluminum O; (ftp O) (other O. 3 OTHER: (flame% 0) (open top O) (tank 0) (other 1:: ir --A.T7alid CSC plate is attached to the container. e..2e2a ❑ An outdated CSC plate is attached to the container. O The container does not have a CSC plate attached to the container. / CC //` a REMARKS: \—V ?tate/if- 2 Inspected: / .1 /0 07, William Vargas Surveyor Company. William Vargas ;GY4 SW 134th )/: Miami, FL 33184-331i td JetaeuetI e£Z:60 LO a unr EFTA00616697  skTSG ta -AmEr MAKING EVERY DROP COUNT SD# 4020401.001 Engineering and Fabrication Asgwater cum 2401 N.E. 18th Terrace. Suite B Gainesville. FL 32609 F COMMERCIAL INVOICE/SHIPPING DOCUMENT From: Bill To: Ship To: VIA: TSG Technologies L.S1LLC Lance Calloway/ LSJ Tropical Shipping 2401 NE 18th Terrace 6100 Red Hook Quarter Little St James Island attn: TL Dock-PK2 Yard STE B Suite B-3 St Thomas, USVI 821 Avenue E Gainesville, FL 32609 American Yacht Harbor Riviera Beach, F133404-7523 Ann: Robin Coltharp St Thomas, VI 00802 Bill Rowles Container # CLHU 3745215 Seal # UL-057622 • RECEIVER TO PAY ALL TRANSPORTATION AND SHIPPING CHARGES • RECEIVER TO PAY ALL DUTIES AND TAXES Description (1- 20' Containerized RO Plant QTY Container # CLHU3745215) Unit Price Price 25000 GPD Containerized Reverse 1 Osmosis Plant $111,370.006111,370.00 Total $111,370.00 All Contents Arc Made in The U.S A. Country of Origin: USA. Intimate Destination: Little St longs Island. USVI These items are licensed for the ultimate destination shown. I do declare that the above items are true and correct to the best of my knowledge and information. Those commodities. Technologies, or software were exported from the United States in accordance with the Export Administration Regulations. Delivery Contrary to U.S. Law prohibited. Robin Cofthatp (Eactronic Signature) Date: 6-27-07 Robin Coltharp Logistics Coordinator Date: Received in Good Order By: Please sign and Fax or Email back to: Roble Coltharp TSG • Fin Email: Georgia • Florida • US Virgin Islands • British Virgin Islands • Anguilla • Turks and Caicos • Bahamas EFTA00616698 -simme TSG MAKING EVERY DROP COUNT SD# 4020401.002 Engineering and Fabrication www.tsrateccont 2401 N.E. lath Terrace. Suite B Gainesville, FL 32609 F COMMERCIAL INVOICE/SHIPPING DOCUMENT From: Bill To: Ship To: VIA: TSG Technologies LSJ LLC Lance Calloway/ LSJ Tropical Shipping 2401 NE 18th Terrace 6100 Red Hook Quarter Little St James Island attn: TL Dock-PK2 Yard STE B Suite B-3 St Thomas, USVI 821 Avenue E Gainesville, FL 32609 American Yacht Harbor Riviera Beach, Fl 33404-7523 Ann: Robin Coltharp St Thomas, USVI 00802 Bill Rowle• • RECEIVER TO PAY ALL TRANSPORTATION AND SHIPPING CHARGES • RECEIVER TO PAY ALL DUTIES AND TAXES Description QTY (Reverse Osmosis Plant Intake) Price 1 Lot HOPE Pipe and Fittings $11,328.18 1 Lot Schd 80 PVC Pipe and Fittings $3,845.03 1 Lot Electrical Conduit and Fittings $2,528.69 1Pump AMPCO KC2 $1,944.75 1Pump AMPCO ZC2 $2,044.75 1 Basket Strainer $1.216.50 1 Lot Fasteners $3,202.98 1 Lot Valves $1,482.33 Total $27,593.21 All Cmnaus Are Made in The U.S.A. Country of Otigin: U.S.A. Ultimate Destination: Little St lama Island, USVI These items are licensed for the ultimate destination shown. I do declare that the above items are true and correct to the best of my knowledge and information. These commodities, Technologies, or software were exported from the United States in accordance with the Export Administration Regulations. Delivery Contrary to U.S. Law prohibited. Date: Date: Received in Good Order By: Please dp sad Fax or Email back to: Robin Coltharp TSG Technologies Georgia • Florida • US Virgin Islands • British Virgin Islands • Anguilla • Turks and Caicos • Bahamas EFTA00616699 4.: MAKING EVERY DROP COUNT wWW.ISgWater.COM SD# 4020401.001 Engineering and Fabrication 2401 N.E. 18th Terrace, Suite B Gainesville, FL 32409 F COMMERCIAL INVOICE/SHIPPING DOCUMENT From: Bill To: Ship To: VIA: TSG Technologies LSJ LLC Lance Calloway/ LSJ Tropical Shipping 2401 NE 18th Terrace 6100 Red Hook Quarter Little St James Island attn: TL Dock-PK2 Yard STE B Suite B-3 St Thomas, USVI 821 Avenue E Gainesville, FL 32609 American Yacht Harbor Riviera Beach, Fl 33404-7523 Ann: Robin Colthar St Thomas, USVI 00802 Bill Rowles • RECEIVER TO PAY ALL TRANSPORTATION AND SHIPPING CHARGES • RECEIVER TO PAY ALL DUTIES AND TAXES Description QTY (1- 20' Containerized RO Plant) Unit Price Price 25000 GPD Containerized Reverse 1 Osmosis Plant $111,370.00 $111,370.00 Total $111,370.00 All Contents Are Made in The U.S.A. Country or origin: U.S.A. Ultimate Destination: Little St James Island. USVI These items are licensed for the ultimate destination shown. I do declare that the above items are true and correct to the best of my knowledge and information. These commodities. Technologies, or software were exported from the United States in accordance with the Export Administration Regulations. Delivery Contrary to U.S. Law prohibited. Date: Date: Received in Good Order By: Please sign and Fax or Email back to: Robin C:oltherp Eat: Email: Georgia • Florida • US Virgin Islands • British Virgin Islands • Anguilla • Turks and Caicos • Bahamas EFTA00616700 6.TSG installation crew on island Sun. . July 8 7.Begin seawater intake installation on Monday, July 9. TO coordianate all this, Please contact Robin Coltharp, our Shipping manager in Gainesville at she works closely with Mike Malo I will drop by the drawing set at Noon. Bob Petersen - General Manager TSG - US Virgin Islands Cell - Office - Fax is TSE w- RAMC IVRY ORR COW EFTA00616701  I First Bank Transfer Application SHADED AREAS FOR BANK USE ONLY) /RANCH NO. PREFIX TEST KEY CATE 'h TRANSFER TYPE: -- ).,2 WIRE ❑ CABLE Q DRAFT • mai to Customer NI Men to Payoo II Sena to Branch REP SIGNATURES (Complete appropriate boxes): KEY MODIFY MODIFY APPROVE IF TRANSFERRING FOREIGN CURRENCY: CONTRACT No I VALUE DATE CONVERSION RATE CONVERTED By (mins) I I TRANSFER AMOUNT: FOREIGN CURRENCY (TYNE AND AMOUNT) I TRADER'S NAME U.S. DOLLARS E 101,265.00 Eat ADDITIONAL FEES S • FOreIgn currency amount multiplied by the exchange rate = U.S. dollar Amount. • U.S. Dollar amount divided by the exchange rate c Foreign Currency Amount TOTAL AmOuNT S 101,265.00 METHOD OF PAYMENT: INTERMEDIARY CORRESPONDENT BANK: (If nece TSBr.4 DEBIT ACCOUNT NO. DEBIT ERANCH/DEPT. NO. ABA ROUTING NO./SWIFT CODE 06 NAME/ACCOUNT TITLE BANK NAME LSJ. LLC mmUNG ADDRESS: ADDRESS 00 Financial Trust Co., Ind. 6100 Red Hook Quarter, B3 PHYSICAL ADDRESS: 6100 Rod Hook Quarter, B3 At STATE, ZIP CODE. COUNTRY CITY, STATE, ZIP CODE, COUNTRY St. Thomas, VI 0043024348, USA TO: PAYEE/BENEFICIARY'S BANK FOR: PAYEE/ACCOUNT OF ULTIMATE BENEFICIARY BANK CODE ACCOUNT NO. BANK NAME NAmITACCOUN1Thri ..E Darby Bank R Trust TSG Technologies, Inc. ADDRESS ADDRESS 327 Eisenhower Dr. Ste. 100 CITY, STATE, 21P CODE, COUNTRY COY, STATE, ZIP CODE. COUNTRY Savannah, GA. 31406, USA Savannah, GA, 31406, USA ORIGINATOR REFERENCE: BENEFICIARY REFERENCE: I I I I I I I I I 1 l i I l l I l I I I I I I I I I I I SPECIAL INSTRUCTIONS: (Optional) Please email Fed. Reference number to Emad Hanna at THE UNDERSIGNED AGREES TO THE CONDITIONS ON THE REVERSE SIDE OF THIS APPLICATION. CUSTOMERS TELEPHONE DATE OF APPLICATION 5/1/2007 CUSTOME: SIG CUSTOMER'S SIGNATURE (//App)/coblO) CUSTOMER' `TR: SFER REQUEST: (Complete appropliatb boxos) o FAX fa IN PERSON El PHONE 0 MAIL/MESSENGER ID. USED (Do not leave blank) O TREPNoNE/FAx AGREEMENTON FILE 0 CALLASACK IF OVER S LIMIT: By II TRANSACTION ° " U • Spoke to Ormi U HOLD PLACED AKER IN BY (Poll Nome) INITIALS TEST KEY-C.ALCUI.ATED BY Ofdifferent than taftli in OA BRANCH AUTHORIZED SIGNER (PIM! NenN 1 BRANCH TELEPHONE NO. BRANCH AUTHORIZED SIGNATURE INITIALS ( ) • 14tO.N.211W0302 EFTA00616702 LAFAYETTE CONTRACTORS LLC Telephone 6100 Red Hook Quarter, Suite 42-7 Foy: Sr. Thomas, VI 00802 INTERNAL PROPOSAL FORM Date: 20 April 2007 Proposal No. 00006 RE: 25,000 R/O Plant: Purchase and Installation We request approval to purchase and install a 25,000 gallon per day R/O system for LSJ upon the following terms: 1. Equipment and Work Covered a. TSG will supply and install all components for the prices set out below and will support required permitting; scope is turnkey for system contained in 20' container and all on site upgrading of piping, pumping, required for the improvements. b. The full scope of the TSG proposal and a clarification note are attached as Exhibits 1 and 2. A comparison sheet of all systems solicited, including this option, is attached as Exhibit 3.The work requires manufacture, shipment, setting of container, constructing intake lines, pump house, feed lines to RIO plant and permitting. c. LSJ will be required to pay for shipping, haul container and materials to island from St. Thomas, set container on existing slab, dig and backfill intake and feed lines, and upgrade pump house. d. LSJ must supply power stub 3 phase, 480, 100 amp e. We anticipate that the setting of the container trenching and upgrading of the pump house can be accomplished within the lead time for the equipment delivery 2. Terms a. TSG: i. Containerized Equipment & Accessories (50% with Order) ii. Supply and Install Intake & Pump house equip. $ 16,000 iii. Supply and Install feed lines incl. cable and elec. $ 31,500 Total $ 201.830 70‘) b. LSJ (scope): v-tt`d i. Shipment Costs (to be determined) 2o2,,5 ii. Barging 475 EFTA00616703  American Export Company QUOTE 2401 PGA Blvd., #190 Palm Beach Gardens, FL 33410 Quote # q70653 Fax Date 6/26/2007 WHOLESALE BUILDING PRODUCT Name / Address Ship To LITTLE ST. JAMES ISLAND SAME 6100 RED HOOK QUARTERS B3 VIA TROPICAL ST. THOMAS, USVI 00802 OO LANCE CALLOWAY Terms Rep FOB SHIP TIME IN ADVANCE MIKE SOUTH FLORIDA 3-4 WKS Qty Unit Description Price Total I EA 6/OX 5-3/4" X I6G HEAD (GALVANEAL A40) 2,353.75 2353.75 6/8 X 5.3/4 X I6G JAMB LEG PAIR DS (GALVANEAL A40) 4EA MASONRY WIRE ANCHORS FLUSH BOLT STRIKE PREP I EA 3/0 X 6/8 X 1-3/4 ACTIVE I8G A40 RH DOOR I EA 3/OX 6/8 X 1-314 INACTIVE RP IIIIG LH DOOR 6/8" -ZASTRAGAL LH/RH MA FLUSHBOLT PT 011 MA STRIKE PREP INACTIVE LEAF ATTACH Z ASTRAGAL ASA AND FB 2EA CUT OUT AND INSTALL LOUVRE 2EA 24"X24" X 1-3/4" FPL METAL LOUVER WITH SCREEN 4900-FPL 6EA ECCO BBI 101 HINGE 4.5 X 4.5 32D 2EA FLUSH BOLT 1555 626-US26D 2EA DORMA HD CLOSER .8916 AF89P FC SNI 689 lEA 4045 72" SADDLE THRESHOLD ALUM lEA DORMA ENTRY MORTISE LOCK W/DB - ML9953D LRB 630 LHR 5005 KD l EA INLAND FREIGHT TO PORT 0( Total Signature Phone # Fax L.' E-mail Web Site www.AmericaitExportCompany.com Paso— EFTA00616704  American Export Company QUOTE 2401 PGA Blvd., #190 Palm Beach Gardens, FL 33410 Quote # q70653 Fax Date 6/26/2007 WHOLESALE BUILDING PRODUCTS Name I Address Ship To LITTLE ST. JAMES ISLAND SAME 6100 RED HOOK QUARTERS B3 VIA TROPICAL ST. THOMAS, USVI 00802 C/O LANCE CALLOWAY Terms Rep FOB SHIP TIME IN ADVANCE MIKE SOUTH FLORIDA 3-4 WKS Qty Unit Description Price Total WILLIAM- NOTE THAT THESE ARE 5.3/4" THROAT WHICH IS STANDARD FOR MASONRY OPENINGS, YOU ASKED FOR 8-3/4 WHICH WE ARE TRYING TO GET PRICED AS A SPECIAL SIZE.-ALSO WE DON'T UNDERSTAND WHAT YOU MEAN BY UNEQUAL RABBETS. LET ME KNOW MIKE Total 52,453.75 Signs ure Era Phone # Fax # E-mail Web Site wswe.AmericanExponCompany.can (.t tp-3 -2o 3 EFTA00616705 Emad Hanna 1m: !may, une 7 1:03 PM To: Emad Hanna Cc: Subject: 1/11.11/.p room doors Estimate from AMERICAN EXPORT Attachments: FW: adjusted pump room doors Estimate from AMERICAN EXPORT Emad, The proposal is OK to progress That they did not pass it by me and that you had to manage my approval is not. I will put them on notice they must pass this by me for approval and I suggest you also drop them a note telling them; they need to get approval, you do not appreciate having to go to Miller each time, this was approved to not delay progress but future requests if not processed through Miller will not be acknowledged. Charles .e what's free at AOL.com. EFTA00616706 Emad Hanna ‘m: William Rowles [ .....mt: Wednesday, Juni...... To: Emad Hanna Subject: Door quote Emad - Doors/frame/hardware quote from H-W Distributors was for $2340, delivered to Tropical. Mike was $2453.75 plus $100 for inland freight. However, I think Mike has covered the specs better than H-W, and is the more representative price for what we want. My only heartburn is that he gave me chromium plated flush bolts instead of the 32D stainless steel. You know how the boss hates rust! William Rowles Lafayette Contractors, LLC /NW Prive az4tem Ri (ofriAAA)no6tI iltew-4NAA 6100 Red Hook Quarter A2-7 St. Thomas, VI 00802 r'h) d ax (Cell, E-mail: 1 EFTA00616707  'First Bank Transfer Application (SHADED AREAS FOR BANK USE ONLY) ANCH NO. PREFIX TEST KEY DATE TIME TRANSFER TYPE: 21 WIRE 0 CABLE— I ❑ DRAFT ❑ Mail to Customer ❑ Mail to Payee 0 Send to Branch REP SIGNATURES (Complete appropriate boxes): KEY MODFY MODIFY APPROVE IF TRANSFERRING FOREIGN CURRENCY: CONTRACT NO VALUE OATE CONVERSION RATE I COWERTED BY (Meade) TRANSFER AMOUNT: FOREIGN CURRENCY (TYPE AND AMOUNT) TRADERS NAME U.S. DOLLARS 71.012.00 NOTE: ADDITIONAL FEES $ • Foreign currency amount multiplied by the exchange rate = U.S. dote Amount • U.S. Dollar amount divided by the exchange rate = Foreign Currency Amount. TOTAL AMOUNT $ 71,012.00 METHOD OF PAYMENT: INTERMEDIARY CORRESPONDENT BANK: (IInecessary) DEBIT ACCOUNT NO. DEBIT BRANCHCEPT. NO. ABA ROUTING NO./SWIFT CODE 08 NAMEIACCOUNT TITLE BANK NAME LSJ, LLC MAILING ADDRESS. 1 ADDRESS do Financial Trust Co.. Inc. 6100 Red Hock Quarter. E3 PHYSICAL ADDRESS: 6100 Red Hook Quarter, B3 rY. STATE. ZIP CODE. COUNTRY CITY, STATE. ZIP CODE. COUNTRY 01Thomas. VI 00602-1348, USA TO: PAYEE/BENEFICIARY'S BANK FOR: PAYEE/ACCOUNT OF ULTIMATE BENEFICIARY BANK CODE ACCOUNT NO. BANK NAME NAME/ACCOUNT TITLE Derby Sank & Trust TSG Technologies, Inc. ADDRESS ADDRESS 327 Eisenhower Dr. Ste. 100 CITY, STATE. ZIP CODE. COUNTRY CITY. STATE ZIP CODE COUNTRY Savannah, GA. 31406. USA Savannah, GA, 31406, USA ORIGINATOR REFERENCE: BENEFICIARY REFERENCE: I I I I I I I I I I I I I I I I I I I I I I I I I I I I I SPECIAL INSTRUCTIONS: (Optional) Please email Fed. Reference number to Emad Hanna at THE UNDERSIGNED AGREES TO THE CONDITIONS ON THE REVERSE SIDE OF THIS APPLICATION. CUSTOMERS TELEPHONE NO. DATE OF APPLICATION 6/2712007 CUSTOME WIN CUSTOMERS SIGNATURE al APpbbable) DUMMER, TR ER REQUEST: (Complete appropriate boxes) AGREE-thrE ❑ FAX IN PERSON II PHONE MAIIAMESSENGER I.O. USED (Oo not leave blank) • AGREEMENT ONAX FILE ONE TIME ONLY ❑ CALL-BACK F OVER S LIMIT: TRANSACTION 11 By ___ U Spoke to in Time 0 HOLD PLACED 'KEN IN BY (Pfra Name) INITIALS TEST KEY CALCULATED BY (II different titan taken in by) INITIALS BRANCH AUTHORIZED SIGNER Mine Name) BRANCH TELEPHONE NO. BRANCH AUTHORIZED SIGNATURE ( ) - Nme/.2196-0802 EFTA00616708  iii. Electrical Stub out