EFTA00609257.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Main House #1011 Trade: Excavation December 21, 2010 Subcontractor Little Buck Trucking Requisition #01 Insurance ex iration: March 1. 2011 Invoice # Requisition #01 Phase # 02-200 Original Contract Sum: S15.000 00 Change Orders Submitted & Approved: New Change Orders: $0.00 $0.00 Total Work Contracted to Date: $15,000.00 Total Work Completed to Date: 17% $2.500.00 Less Retainage: $0.00 Total Payments Made to Date: Total Current Payment Due: $0.00 Balance to Finish including Retainage: $2,500.00 Sales Tax Liability: $12,500.00 a. Subcontractor/Supplier is liable, explaii install only / tax included in contract b. Non-resident Subcontractor/Supplier Bon d Applicable: c. Use Tax to be paid by our company: d. Shipping None Total Outlays for this contract incl. Sales or Use Tax: $2,500.00 JEE approval attached Invoice Attached YES NO YES NO X X Submitted Bill Approved by: Gary 7 Signed: Signed: Date: Decembey21.2010 Date: December 21. 2010 Approved by: E Approved by: Signed: Signed: Date: Date: ft sc Ay.gy 177/1 (7-&-ce EFTA00609257  LSJ CONSTRUCTION Mar• Isouw re 11 iubcontracior • full legal rame Unie Buck Tm:, !---; Phase a 02.2001 Dale Rems« December 2'. 20'0 Trac,. Excava! or 'motu a Recupittor Insurancir experasor 1 Me! 11 Pernent Pareil l'exil InvoiceReqe Date x conne Amount GO Arnount 12,1310 Budget Ftetainne Due Pare Date Pare Check* Balance ! CON, 15.00.D .0O CO.? CO23 CO/M CO*5 Requise:in E 12;20110 Rte Mi 2 5O0 IX) n.» 2 500 00 iFtequimhbei riQ 250000 RequisMon 43 0 00 Reqws.bon 54 r 0.0p RequrS.tiOn a5 0 00 Requismon 26 Reg.. »on ar - Ramsden 28 Ftequistoon e9 Total I 2 500 00 1 0 ce I 2-5°0 X' o oo 2.500 00 i Contract Arman% Phase Contract Excavation 15.000 O0 COM' Description con Descnprinn Cola pescnotiOn COIN Descnpoon C005 Descopeon Contracted Te Date 15.000 00 Banne ol Ccovact Relainage 12,500 00 EFTA00609258 December 20, 2010 Requisition #1 Period I2i 3/I -12'17,10 Payment requested thr the rental ()I'dump truck and operator kir period listed above. 5 days $500.00 per day S2.500.00 ' hank you -r/ EFTA00609259 Emad Hanna From: Eve Febe ItL Sent: Tuesday. December 21, 2010 2:b8 PM To: Emad Hanna Cc: Monique Harry Subject: Main House 1011 Req #01 Attachments: Main House 1011 Req #01 pdf Good Afternoon Emad. Attachment for payment, Little Buck Trucking. Req. #01. In the amou nt of $2,500.00. Project 1011 Code 02- 200 Eve Febe American Ya 1 EFTA00609260