EFTA00724692.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Main Compound Renovation #1009 September 27, 2010 Trade: Doors Requisition #01 Subcontractor Al Development, LLC Insurance ex iration: March 1, 2011 Invoice # Requisition #01 Partial Phase # 08-210 X Original Contract Sum: $22,901.00 Change Orders Submitted & Approved: $0.00 New Change Orders: $0.00 Total Work Contracted to Date: $22,901.00 Total Work Completed to Date: 50% $11,450.50 Less Retainage: $0.00 Total Payments Made to Date: $0.00 Total Current Payment Due: $11,450.50 Balance to Finish including Retainage: $11,450.50 Sales Tax Liability: a. Subcontractor/Supplier is liable, explak install 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: $11,450.50 JEE approval attached Invoice Attached YES NO YES NO X Submitted Bill Approved by: Gary Signed: Signed: Date: September 27, 2010 Date: September 27, 2010 Approved by: Emad Approved by: Signed: Signed: Date: Date: EFTA00724692 LSJ CONSTRUCTION Protect Main Compound Renovation #1009 ≥ubcontractor full legal name: Al Development. LLC Dale Revised September 27. 2010 Phase It 08-210 Trade. Doors Invoice ft: Requisition #01 Insurance expiration: I -Mar-11 Payment Partial Final X Invoice/Req# Date C/O Amount Retainage Due Paid Date Paid Check# Balance Contract Amount 0927,'10 22901 00 CO01 CO#2 CO#3 CO#4 CO#5 Requisition #1 03131110 Deposit 11450.50 0 00 11,450.50 11,450.50 Requisition #2 Balance 0.00 Requisition #3 0.00 Requisition #4 0.00 Requisition #5 0.00 Requisition 416 Requisition #7 Requisition #8 Requisition #9 Total 11.4;0;0 0.00 11,450.50 000 11,450 50 Contract Amount - Phase Contract Shutters. Door panels 22,901 00 CON1 Descnptton CO#2 Descnplion CO#3 Description CO#4 Description CO#5 Descnphon Contracted To Date 22,901 00 Balance of Contract wIRetainage 11,450 50 EFTA00724693