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efta-efta00610517DOJ Data Set 9Other

LSJ CONSTRUCTION

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DOJ Data Set 9
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efta-efta00610517
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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: Mechanical Building #1002 Trade: Generators Subcontractor Rimco, Inc. Invoice # Phase # Requisition #03 13-500 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 8, 2010 Requisition #03 Insurance ex !ration: Janua 0 1900 $300,990.00 $5.200.00 $0.00 $306,190.00 100% $306,190.00 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 Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: December 8. 2010 Approved by: Em Signed: Data. 0 $0.00 $300.990.00 s"7- $5,200.00 O/C- $0.00 None $306,190.00 YES X Invoice Attached NO Approved by: Gary Signed: Date: December 8, 2010 Approved by: Signed: Date EFTA00610517 CONS 1 RUCTION Protect Mechanical Building 41002 5o0011er - fAl legal name Pima, !nc Phase 4 13-500 Trade Generators Invoice Rem-shoo 403 insurance expiration Dale Re vised December 8. 2010 Payment Partial Final X LaatfrecAL gm—Amount Date 00 Amount RetagiSe_ Due Paid Date Pad CJI04:** Balance 03t09;10 300.990 00 COal toad snare modules 5.20000 C042 0043 costa C095 Reguisital *I 03/09,10 25% depose 75,247 50 000 75,247 50 75.247 50 0.00 tosibon #72 08.'09410 Balance 225 742 50 000 225.742 50 225.742 50 000 Requeation 43 o CO #1 5 200 00 000 5.20000 5.20000 '<coups/bon j4 _ 000 . [Total F -306.190 TO C 0.00 I 308.190% 300.990 00 5.200 ooJ Conti:bet Amount Ph.» Cot1 C002 CO*3 C044 CO-5 n3 8.19001 Contracted To Dale Balance of Contract w/l9ntainage EFTA00610518 INVOICE S0484901 P0604 362529 San Juan. PR 00036-2519 Sales Parts Service • Rentals " I" Artdb* i . I I I 1 2411 EP ): el . l'• 112 M I Ste TO BRICE GORDON/LSI. STT LITTLE ST. JAMES ISLAND 6100 RED HOOK QUARTER B-3 ST. THOMAS. USVI 00802 larolat• Daft • • 124940 Taro Can. Claret Ordow leltaf CASH Sal _ Sax. 10 Weldor E Cans/ Coed Male CA Customer Number ST30585 criatty:. IDOOradin:T; _ US To IN MT) 7914300 Fax weeny IIIIIC0Cal OJT III.. BRICE GORDON/SJ, SIT LITTLE ST. JAMES ISLAND 6100 RED I fOOK QUARTER B-3 ST. THOMAS. USVI 00802 PROMO No. SW/00a SAID Vla Aloft ' LOAD SHARE SaiallItontor 10E0 tOCA - Maas ro 10EOICRA Molar Ramis; 0 EINIPtron *Ads SOCHI 1240.10 SERVICE DER?. EQUIPMENT SALE CATERPILLAR GEN SET _DAD SHARE MODULES OTHER ITEMS 1.0 ID NO: 10E0106A SERIAL HO: 10£QIO6A REF: W/O NO.EL36710 1.0 REF: 1610797 TWO LOAD SHARE MODULES FOR CAT 1.0 GEN SETS 10E0106/10E0107 MODEL 1 .0 C18 FOR PROJECT LITTLE SAIHT . 1.0 JAMES ISLAND - SHIP TO 1.0 RUSSELECTRIC VIA URBINA REQUEST BY JACKSON GALINDEZ IOMISIICAMMMYIS Oo in me :Uwe.* iv Nat wa 1~w on ]\. IL 4.. H Ian Toe ducal% wavy arllw &a hart, mar la Ian this.4.../ Cares 1. • yq.Naba Cane I anfilliti $ llr .• es. T.'. I. °W." . juts ••••• r ea ...On IVG EXEMPT- EXPORT NUN EXEMPT- EXPORT " INVOICE COPY ts USD Suoictas Pay ref amount Amount crtNOPX1 TERONOSTCONDICIONES la Wive" JO 'Air pa Fain r Own.* • ones 2\ n :41. mit Ofavnts tn CRS ...he de 1 't Wen tiatpat %Aro root tan )1 4.a• •et. lean *Kr. pip *as Fain elp.lareent rim ••••04•40111:p tanto•Sto• *Warps Li v... ads sown re Mao aont tin ;sob Wows., I Eallaidad j ; 5200. 0 5200 00 PARTS RETURNED FOR CREDIT MOST SE ACCONPNIII0 OT THIS INVOICE Pane I EFTA00610519 Emad Hanna From: Monique Harry Sent: Thursday. December 09, 2010 1:29 PM To: Emad Hanna Attachments: Rimco Req 3 1002.pdf Emad, Attached for payment Rimco, Inc in the amount of $5,200.00. Project 1002 Code 13-500 Monique EFTA00610520

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GPS5.20000 5.20000
Phone7914300
Wire RefREF: 1610797
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