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efta-efta00600656DOJ Data Set 9Other

LSJ CONSTRUCTION

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DOJ Data Set 9
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efta-efta00600656
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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: Air Conditioning October 13, 2010 Requisition #01 Subcontractor Atlanta Refrigeration Service Insurance expiration: July 1, 2011 Invoice # Phase # Requisition #01 154100 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: $3,283.70 $0.00 $0.00 $3,283.70 100% $3,283.70 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 Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO Submitted Bill Signed: Date: October 13, 2010 Approved by: rniad $0.00 I $0.00 $3,283.70 $0.00 None $3,283.70 Invoice Attached YES NO X Approved by: Gary Signed: Date: October 13, 2010 Approved by: Signed: Date: EFTA00600656 LSJ CONSTRUCTION Project Kitchen #1007 ibcontractor - full legal name: Atlanta Refrigeration Service Phase It 15400 Trade: Air Conditioning Invoice It Requisition #01 Insurance expiration: 1-Jul-11 Payment Partial Final X Invoice/Req# Date CIO Amount Retainage Due Paid Date Paid Check# Balance Contract Amount 10/13/10 3.283.70 CON1 CO#2 CO#3 CO#4 CO#5 Requisition #1 10/13/10 3.283.70 0.00 3,283.70 3,283.70 Requisition #2 0.00 ITotal 3.283.70 0.00 3,283.70 0.00 3,283.70J Date Revised: October 13. 2010 Contract Amount - Phase contract CO#1 CON2 CO/43 CO#4 CONS 3,283.70 Split System Description Description Description Description Description Contracted To Date Balance of Contract w/Relainage 3,283.70 EFTA00600657 p Atlanta Refrigeration Service VI VOTE ts 7350 Estate Reveal, Suite 12IC, St. Thomas USVI 00802 Tel: 340.775.9222 Fax:340.775.9122 Job Location Little Saint James Little Saint James St. Thomas, VI 00802 Tel.: Fax: Quote Information Date: Sep 13, 2010 ARS Quote 8452729 IDA: Submitted By: Marsha Gibson Submitted To: Bill Rowles Original ARS love: Original Call ens/2010 Date: We Submit Specific and Estimations for the Listed Below: Equipment: Split-System 19: Manufacturer: Mint Split System oriel #: Description of Work Required: The following quote is for a 2 Ton split-system, This quote includes the cost of all materials, labor split-system, labor, and materials. Once done with the installation the technician will test the unit and ensure it's proper operation. Any additional parts or repairs needed will bo quoted separately. Thank you for choosing Atlanta Refrigeration Service - "Your Single Source Responsibility." Materials Description 2 Ton Mini Split Oty 1.0 Total $1,792.00 Filler Drier 1.0 $69.90 Misc. Supplies ----- - Vf 7777 1.0 $88.20 Labor Description Advance Technician Labor Qty 95.0 Total $760.00 Technician Helper Labor 55.0 $440.00 Important Notes: Total Materials: $1,930.10 Lead time is contingent upon approval and availability of parts. Customer is responsible for shipping charges, duly. taxes, and any customs charges unless otherwise stated in the quote Total E.P.A. $45.00 Total Misc./Welding: $108.130 Total Labor: $1,200.00 Initial Call: Shipping/Freight: Subtotal: $3,283.70 Warranty Information: Standard Manufacturer warranty and 90 days labor warranty from ARS USVI if parts aro installed by ARS USVI. QUOTE IS VALID FOR 15 BUSINESS DAYS FROM ISSUE DATE. Tax: Total: $3,283.70 FAX BACK SIGNED TO 340-775-9122 Authorization Client Authorial : 999 ARS Acceptance: We reserve right to coned any material errors contained horein. valid for 30 days unless ()M0MS° specified. If pails are roomed. a minimum d 25% restocking fee may apply Payment duo at c0rnplelion ol work unless other furannerner As have been made rgAXIM u tsaiikai EFTA00600658 CI 'RBI N I R 9/ Atlanta Refrigeration Service 'Visode-.\"oource Responsibthir Dept 1067 PO BOX 740209 Atlanta. GA 30374.0200 Tel: 404.35?-9222 I.S.I 6100 Red Book Quarter Suite RI Saint 1 lwwms, VI 00802 RECEI VED flk , 1SL Ltd rDate: Statement Oct 4. 2010 Serviced At: I.iitIc Saint James littk Saint James St. Thomas. VI 00s0, Er Witt sr JAMES APPROVED FOR PAYMENT 'Lt. TILL): Dale Invoke No. Description Charges . Balance 9/21/2010 578(122 10007 j ci—V ) M21'2010 578027 Technician came on site installed the new mini split system in 53:28.1.70 $3,283.70 Ilk feeder room. fie marled Ilw unit and tested for proper operation. Unit operating properly on departure. Thank You. X ett,hquelocr Technician came on site and performed the preventative $1,480.00 51.480 on maintenance service on all I I VAC systems. While performing service technician found the cottage unit with a defective es-Ivor:0m fan motor. Ile replaced the evaporator fan motor and tested the 111111. Units operating properly on departure. Thank Von. Loikai dowor: 7mn erAt tt'€Liu Lkd t iiutte Si a lout • Please remember to indicate invoice numbers for payment on your check, memo, or stub. Please send payments to: Dept 1067 PO BOX 740209 Atlanta. (;A 30374-0209 Thank pin for roar business/ 'IASI Di ll U) DA YS PAM DUE 160 DAYS PAST DI IF 1O EA1 DIII eh( EFTA00600659

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FaxFax:340.775.9122
Phone340-775-9122
Phone340.775.9122
Phone340.775.9222
Phone374-0209
Phone374.0200
Phone8452729
Wire RefRefrigeration

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