LSJ CONSTRUCTION

LSJ CONSTRUCTION Subcontractor Payout Project: Main House #1011 Trade: Stone Veneer Subcontractor Gassie Corner Stone Invoice # Phase # Requisition #01 04-450 Original Budget Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Less Retainage: Total Payments Made to Date: Total Current Payment Due: I $12,984.65 Balance to Finish including Retainage: $28,610.35 Sales Tax Liability: Insurance expiration: September 7, 2011 Requisition #01 $41,595.00 $0.00 $0.00 $41,595.00 31% $12,984.65 $0.00 $0.00 a. Subcontractor/Supplier is liable, explaii 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: $12,984.65 JEE approval attached YES NO X Submitted gill Signed: Date: September 8, 2011 Approved by: Emad Signed: Date: Invoice Attached YES NO X Approved by: Gary fi Signed: Date: eptember 8, 2011 Approved by: Signed: Date: ireli-s-etrocess 4 10641_- caecg, PROT0 LSJ CONSTRUCTION Project Main House #1011 Jbcontractor - full legal name: Gassie Corner Stone Phase # 04-450 Trade: Stone Veneer Invoice #: Requisition #01 Insurance expiration: Waiver Payment Partial Final X Invoice/Req# Date C/O Amount Retainage Due Paid Date Paid Check# Balance Budget Amount 09/02/11 Budget 41.595,00 CO#1 CO#2 CO#3 CO#4 CONS Requisition #1 09/02/11 12,984.65 0.00 12.984 65 12.984.65 Requisition #2 0.00 Requisition #3 0.00 Requisition #4 0.00 Requisition #5 0.00 Requisition #6 0.00 Requisition #7 0.00 Requisition #8 0.00 Requisition #9 0.00 Requisition #10 0.00 Total 12,084.65 0.00 12.984.65 0.00 12.984.65 Date Revised: September 7. 2011 Contract Amount - Phase Budget CO# 1 CO#2 CO#3 CO#4 CO#5 41.595.00 Description [repeated 5 times] Contracted To Date Balance of Contract w/Retainage r 41,595.00 28,610.35 PROT1 Lassie Corner Stone P.O. Box 1479 St. John, VI 00831 September 2, 2011 Requisition #1 Period through 09/02/11 Payment requested for the installation of 370.99 face feet of stone veneer wall at Cottage #4, on Little St. James Island. 370.99 feet x $35 = $12,984.65 Thank you Req. #1 370.99 f/ft $ 12,984.65 fahc PROT2 6Asste Ccemee snve (j orQ) at t.cz.s-i- cc- Lt rnst Qrt'D bckuturov -4- S x .24/ /41" 17' y 11" itx-1-isAicij&34 scLAW coRA) of cot .11O -Se5111 y 3 /2 't y 7' s cr - 1 308. 27- IC 3 K.,38 ((0 .46 /2 6° as: (ic SI 44 31 6, .38 si,c4- its,35 fir -A-/ 4/ sac+ kss, It)/14 6S- 7 6 . ci 41 TN! PROT3 1" ••agif• *I to 1:',.ttts ki i r 3 i t: es.eic --Vali ( OS6 11 tezole, -zi.s ,•v -eas . ( t 4e.lt, tell tro mos a- . Ctip..0. W . f•C N il ii ...cwt. jir,t As"' 'eV iit: Waal it ati iz Worai teist• 0 .e 1•i•:• "C;t•sr• tit? kls"?.. i tats•-: .:010• C lieVIC "•.:4,74-t: (00 •••en't • ... iv , Weft eta 4 Gt.. e stal4- 11 (11:Pli l • 4. 1" NNS IC • : 11*C:a • • • • I • iO pe., 1/4...$ 4.5::::: P e i 7 •11 it: ..Vil 'IE OA ( 44,*: .J-ss.c.s.: --.1.4..---. se.f.44.--: nice tite•S 4 .-4.0,5 .0 e y. - c.i.f.... 4,re Vitorr. 0.111 "es:Z., :Alec ---,., rese -ne:. *Crag -war. *oleiccis. Os .1,- THE GOVERNMENT OF THE VIRGIN ISLANDS 4 DEPARTMENT OF LICENSING AND CONSUMER AFFAIRS -roe dm t z yak ,•7 BUSINESS LICENSE - • s KNOW ALL BY THIS PRESENT That, in accordance with the applicable provisions of Title 3 Chapter 16 and Title 27 V.I.C. relating to the licensing of businesses and occupations, and compliance having been made with the provisions of 10 V.I.C. Sec. 41 relating to the Civil Rights Act of the Virgin Islands. the following license is hereby Licensee: LYDWINUS GASSIE Trade Name: GASSIE CORNER STONE Mailing Address P !cal Address PO BOX 1479 CRUX BAY ST.JOHN ST. JOHN VI 00831 Business No: 11540 License No: 3-11640-IL Types of License(s) Masonry Contractor As provided by law, the authorized licensing authority shall have the power to revoke or suspend any License issued hereunder, upon finding, after notice and adequate hearing, that such revocation or suspension is in the public interest; provided, that any persons aggrieved by any such decision of this office shall be entitled to a review of the same by the Territorial Court upon appeal made within (30) dais from the date of the decision; provided, further, that all decisions of this office hereunder shall be film' except upon specific findings by the Court that the same was arrived at by fraud or illegal means. 2011 If a renewal is desired, the holder is responsible for making applicat'on for same without any notice from this office. It is the responsibility of the Licensee to notify the Department in writing within (30) day,. when a license is to be cancelled or placed in inactive status. Failure to do so will result in the ay.cy.inciii of penalties as authorized by law. Valid from 0710172011 until 07/31/2012 Printed on 07/25/2011 Issued at St John,V.I. Foe 97.50 Commissioner, Department of Licensing and Consumer Affairs THIS LICENSE MUST BE PROMINENTLY DISPLAYED AT PLACE OF BUSINESS ett.• !Or* 21511:: ... •• I a • .--.•St.•••• !tit : 44411 C:161 ri g, neste• 'To •ro• • a• too. n•r :t in 5) .0 0 4.• .61 • • 111 1:4".4 ZS kr.** 2'44 ote •••• •:. ..-.....i.C .r 4 . 0 01....• 0 MS PIree • ...Pei% ...'• 0:0 Ost•N I. •.: 14 I • • Zia ill4i TA :;4 1 ;S t tki ZI114 liZ t:••t. i ti t:- ....AN; ilitilcre t! i.V.,• ) klial all at. ye. z.Zett*i*4 1:- !I: pie! 0) ET: r Sq WA It• • • sins -.0..4, i • r NO eZt.i .:0404) air•ra •-"Nt et tt .".. i • te ••••• i .4 a.-0-0.i• , 0 ci..• 1. 00. 41 .010•We i ggajcgg re'Wee7" 44 474 TOV I; MV• Veleg"" 14144 TeV i n eW•Ve 4 C"n teneg t; $.01 4 14'410 0.70 ;47,4Wee 4 55 1 • fj 3/4 0 fea .4•0•S ofet • • stp•i 0.10. :04•4100.• • •4.0:4*.fe:• • *4.4'4,•14 4 • • 4,4%:•illt• • •1411: 000.• • WI 4141"•• • ""•444• 116 • 0. • .4. Pa • • ae . • l a al • • • • a • • a s . 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