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efta-efta00609253DOJ Data Set 9Other

LSJ CONSTRUCTION

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DOJ Data Set 9
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efta-efta00609253
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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: Main House #1011 Trade: Excavation Subcontractor Little Buck Trucking Invoice # Phase # Requisition #02 02-200 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: December 28, 2010 Requisition #02 Insurance ex•iration: March 1 2011 30% 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: $4,500.00 $15,000.00 $0.00 $0.00 $15,000.00 $4,500.00 $0.00 $2,500.00 I $2,000.00 Ott' $10,500.00 None JEE approval attached YES NO X Submitted Bill Signed: if& ‘.1 Date: December 29. 2010 Approved by: Emad Signed Date Invoice Attached YES NO X Approved by: Ga Signed: Date: December 29, 2010 Approved by: Signed: Date: EFTA00609253 ISJ CONSTRUCTION rubcontraclor Prowl Main House .1011 he legal 1181110 Lay Buck 7 nicking Phase # 02-200 Trade Excavation voice N. Requisiton #02 Date Revised Decemtiel 28 20'1' Insurance exptrabon tatar.11 Payment Partial Final x Itnycyce/Req# Dale CrO Amount Retainage Due Pesci Dale Paid Check# Balance Contract Amount 12/13110 Bu0gel 15.003 00 CO/1 Con COs3 CON C005 Requisition NI 12120/10 Reg #1 2.50000 000 2.500.00 2.50000 000 Requisition e/2 12/28/10 Req #2 2,003 00 0 00 2.000.00 2.00000 Requisition #3 0.00 Requisition #4 0.00 Requisition #5 Requisition #6 Requisition #7 Requisition #8 Reoushon #9 Total I 4,500 001 000 4.500 001 2.500 00 2.000 001 COrtVaCI Amount • Phase Contract COSI C012 C003 CONN COt5 Excavation 15.000 00 Description Oescnotton Description Oeicnption escn pe on Convected To Date Barre of Contract v4Ftetamage 15.000.00 10.500.00 EFTA00609254 Little Buck Trucking December 28. 2010 Requisition #2 Period 12/20/10 - 12/24110 Payment requested for the rental of dump truck and operator for period listed above. 4 days (a? S$00M0 per day - $1000.00 Thank you EFTA00609255 Emad Hanna From: Eve Febe Sent: Wednesdatanii.1. 11.111 To: Emad Hanna Cc: Bill Rowles Subject: Little Buck Trucking Req. #02 1011 Attachments: Little Buck Trucking Req.#02 1011.pdf Good Afternoon Emad, Attachment for payment Little Buck Trucking Req. #02. In the amount of $2,000.00. Project 1011 Code 02-200 Eve 1 EFTA00609256

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