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efta-efta00600561DOJ Data Set 9Other

LSJ CONSTRUCTION

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Source
DOJ Data Set 9
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efta-efta00600561
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4
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
LSJ CONSTRUCTION Subcontractor Payout Project: Kitchen #1007 Trade: Stone Veneer Subcontractor Stephen Auguste Invoice # Phase # Requisition #03 04-450 Original Contract 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: Balance to Finish including Retainage: Sales Tax Liability: a. Subcontractor/Supplier is liable, explaii Insurance ex iration: 100% install only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: Jan_j,aqi 21 2011_ Approved by: Signe Date. January 21, 2011 Requisition #03 $35.000.00 $0.00 $0.00 $35,000.00 $34,860.00 $0.00 $34,090.00 V $770.00 OK-- $140.00 None $34,860.00 Invoice Attached YES NO Approved by: Gary Signed: Date: January 21. 2011 Approved by: Signed: Date: EFTA00600561 LSJ CONSTRUCTION Project Kitchen #1007 Jbcontractor . full legal name. Stephen Auguste Phase # 04-450 Trade Stone Veneer Invoice #: Requisition *03 Dale Revised January 21.'2011 Insurance expiration: Payment Partial Final x Invoice/Rent, Dale CIO Amount Retainage Due Paid Date Paid Checks Balance Budget Amount 35.000.00 CONI con COO CO114 CO#5 Requisition 01 11128/10 16,765.00 0.00 16.765.00 16.765.00 1,":" 0.00 Requisition #2 12/20/10 17.32500 000 17.325.00 17.325.00 V 0.00 Requisition #3 01/17/11 770.00 0.00 770.00 770.00 Requisition #4 0.00 Requisition #5 0.00 Requisition #6 0.00 Requisilion #7 0.00 Requisition #8 0.00 Requisition #9 000 Requisition #10 0.00 Requisition #11 0.00 Requisition #12 0.00 Requisition #13 0.00 Requisition #14 0.00 Requisition #15 0.00 Requisition #16 0.00 Requisition #17 0.00 Requisition #18 0.00 Requisition #19 000 Requisition #20 0.00 Total 34,860.00 0.00 34,860.00 34.090.00 770.00 I Contract Amount - Phase contract CON1 CO#2 CO#3 CO#4 CO#5 35,000 00 Description Description Descnotion Description Description Contracted To Date L 35.000 00 Balance of Contract wifietalnage 140.00 EFTA00600562 Ste Auguste M. Box 1078 St. John, VI 00831 January I 7. 2011 Requisition #3 Period through 01-17-1 I Payment requested tbr the installation ol'22 thee feet astone veneer on the Kitchen Addition on Little St. James Island. 22 feet x $35 = $770.00 Thank you Req. NI 479 1711 $16,765.00 Req. ti2 495 1711 $17.325.00 Req. #3 1, 1711 $ 770.00 .• EFTA00600563 TYSONS INVOICE 1-17-11 NORTH SIDE OF MAIN HOUSE COLUMN TO BUILDING REMODLE 7' X 2' UNDER NORTH EAST KITCHEN DOOR 4' X l' EAST PANTRY INTERIOR WALL PATCH 4' X 1' 14 sqft 4 sqft 4 sqft TOTAL 22 sqft -fQiv2 1/ 1 7// EFTA00600564

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