Case File
efta-efta00609216DOJ Data Set 9OtherLSJ CONSTRUCTION
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00609216
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
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LSJ CONSTRUCTION
Subcontractor Payout
Project:
Mechanical Desal
Trade:
Water System
Subcontractor TSG Technologies, Inc
Invoice #
Phase #
Requisition #02
11-200
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 March • 20
Partial
X
50%
install only r 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 inci Sales or Use Tax:
March 30. 2010
Requisition #02
Final
S592,160.00
S0.00
50 .00
5592.160.00
S296.080.00
S0.00
547.800.00
5248,280.00 V V.
$296,080.00
None
JEE approval attached
YES
NO
Submitted Bill
Signed:
Date. March 31. 2010
Approved by: Ema
Signed:
Date.
$296.080.00
Invoice Attached
YES
NO
Approved by'
Signed:
Date: March 31. 2010
Approved by:
Signed:
EFTA00609216
LSJ CONSTIRL:11 ION
tawnier:Kea Sill
insurance
Proxtd
legal name
Phase #
Trade
trirrote
e•piralOrt
Date
MeehanCal nasal
SG Tachncloves Inc
'1.200
'Amer System
ROCuriben 107
I -Mara t
Afficunl
i
Retain:Ice
Dare Rev.-serf
Moral 30 2010
Date Rape
Checka
Balance
Ilayrneni
:nee
X
Duo
Pate
Contract Amount
1217700
502 16000 I
Cosi
CCU:
COA3
Ceti
Coat
Requisition al
C2'22 10 Dow! Phase 8-
17.600 043td
0 00
800 00
-aiiroeo
000
Recpsition 12
03i30-10 Procuremqp! - 12%
242111000 j
000
748 280 CO
.348 280 00
Zorsibon tt3
Reaey10 Shp 101.
000
Requisition #4
Equip on See :
1.
10'
Reqinstbon
Substantial Compeller. - &I':
00
Rego-sten /6
Final Compleben - Stt.
790 °tie R3 1
tio
lob 080 DO
800 oo.
548 280 00
Contract Amount • Phase
CpnoaU
Cot?
Cue?
CCe3
COL,
CO:rs
RO ;bare
Ctentracte1 te Date
Flalnece of Contract w Rol
ler
507.160 001
•
I Dow/Thom
I Descnplion
•
ITibscrieltrei
I Description
_
.
; Description
592.160 00
NE 080 CO I
I
EFTA00609217
TSG
TSG TECHNOLOGIES INC
Pay Request #2
Payment Schedule
c Task
Percentage
l'aymen
5.1; ":,';) O.
Sewn Procurenvel - NTP
Total per Contract.
Less Previously Invoiced:
Total this Invoice:
,
S.'n'A ,1'
100%
5592.160 00
$592.160.00
547,800.00
$248.280.00
Remaining Contract Value.
SUI.880.00
40.204.02-PR002
Lane St. James
Subtotal
Skipping and Handling
Taws
Total Invoice amount
Wire information:
TSG Technologies. Inc.
Puns Kara. and I teal
5248.280 00
50 .00
5248.280.00
EFTA00609218
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