EFTA00600514.pdf

LSJ CONSTRUCTION Subcontractor Payout September 28, 2010 Project: Laundry Trade: Stone Veneer Requisition #01 Subcontractor Stephen Auguste Insurance ex•iration: Invoice # Requisition #01 Phase # 04-450 $26,000.00 Original Contract Sum: 50.00 Change Orders Submitted & Approved: $0.00 New Change Orders: $26,000.00 Total Work Contracted to Date: 51% -/ $13,230.00 ✓ Total Work Completed to Date: $0.00 Less Retainage: Total Payments Made to Date: $0.00 $13,230.00 di-- Total Current Payment Due: $12,770.00 Balance to Finish including Retainage: Sales Tax Liability: install only / tax a. Subcontractor/Supplier is liable, explain included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: None d. Shipping $13,230.00 Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached Invoice Attached NO YES NO YES X X Subm itted Bill Approved by: Gary Signed: Signed: Date: September 28. 2010 Date: September 28, 2010 Approved by: Approved by: Signe.: Signed: Dat I Date: EFTA00600514 LSJ CONSTRUCTION Protect Laundry full legal name: Stephen Auguste Date Revised September 28. 2010 Jbcontr actor - Phase # 04-450 Trade: Stone Veneer Invoice #: Requisition #01 Payment Insurance expiration: Partial Final X Due Paid Date Paid Check* Balance Amount Retainage l InvoiceiReg# Budget Amount CO*1 Date CfO 26.000 00 CO#2 CO#3 CO#4 CO#5 0 00 13230 00 13.230 00 #i Requisition riel 13.230 00 I- 0.00 Requisition #2 0.00 Requisition #3 000 Requisition #4 000 Requisition #5 0.00 Requisition #6 0.00 Requisition #7 0.00 Requisition #8 0.00 Requisition #9 000 Requisition #10 0.00 Requisition #11 0.00 Requisition #12 i 0.00 Requisition #13 0.00 Requisition #14 0.00 Requisition #15 0 00 Requisition #16 0 00 Requisition #17 0.00 Requisition 018 0.00 Requisition #19 0.00 Requisition #20 11230.00 000 13.230 00 000 13,230 00 TcnaJ Contract Amount - Phase contract 26.000 00 CO#1 Descnption CO#2 Description CON3 Descnption CO#4 Description CO#5 Descnption Contracted To Date 26.000.00 Balance of Contract veRetainag 12.770 00 EFTA00600515 Emad Hanna From: Monique Harry Sent: Tuesday. Septem er 2V201114:01 PM To: Emad Hanna Subject: Stephen Auguste Req 1 Attachments: Stephen August Req 1 1006.pdf Emad, of $13,230.00. Project 1006 Code 04-450. Attached for payment Stephen Auguste Req 1 in the amount Monique EFTA00600516  S hen Au ste September 28. 2010 Requisition Period through 9-24-10 Payment requesuxl for tlx: installation of 378 face feet of stone veneer on the Laundry Room on Little St. James Island. 378 feet x S35 = S13:230.00 Thank you Req. #1 378 lift S13,2 30.00 EFTA00600517