LSJ CONSTRUCTION

LSJ CONSTRUCTION Subcontractor Payout Project: Existing Compound Renovations #1009 Trade: Roofing Assembly Subcontractor Matthew Jarvis Invoice # Phase # Requisition #02 07-412 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 January 20, 2011 Requisition #02 iration: December 31. 2011 Partial 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: Final X $13,440.00 $5,500.00 $0.00 $18,940.00 $18.940.00 $0.00 \NV $13.440.00 tli2-411\" $5,500.00 Lifc $0.00 None JEE approval attached YES NO X Submitted Bill Signed: Date: January 20, 2011 Approved by: Emad Signed: Date $18,940.00 Invoice Attached YES NO X Approved by: Gary Signed: Date: Ja ary 20, 2011 Approved by: Signed: Date: EFTA00622388 LSJ CONSTRUCTION Sur)Om Piciett Existing Compound Renovarisns 111009 lull legal name. Matthew Janne Phase # 07.412 Trade. Roofing Assembiy Invoice a. Requisition #02 Dale Revised January N 2011 insurance expriarion 31.Ciec.i i Payne" Partial Final X Invorce/Regit Dale OD Amount Retainage Due Paid Dale Paid Cheat/ Bagnce P.0 Amount 07/29210 13.440.00 C0al con con can C0a5 01114211 5.50000 Requlerlan#1 07127210 Metal Flaetings 13.440 00 0.00 13.440 00 13.440 00 ro iFffluisilion #2 01214/11 Compiete gutters 5.500 00 0.00 5,500.00 5.500.00 Requisition n 0.00 Requisition MI 000 Total r 18.94000 000! 10,940 00 13,44000 5.50000! Contract Amount Phase PO Coal COW? CO#3 CO#4 C045 metal Fumes/19s 11440.00 Metal Fla shin s 5.500 00 Descripban • Description - Description Description Descijption Contracted To Oale Balance of Contract w/Relainage 18.94000 EFTA00622389 Mathew Jarvis Date: 1/14/1 1 Contact: Bill Adams Job Location: Little Saint Jeff Copper gutter work Time, materials, bending machine Total: ¶5,500.00 EFTA00622390 Emad Hanna From: Eve Febe ( Sent: Thursday, January 20, 2011 1:32 PM To: Emad Hanna Cc: Bill Rowles; Monique Harry Subject: Matthew Jarvis Req. # 02 1009 Attachments: Matthew Jarvis Req. #02 1009.pdt Good Afternoon Emad, Attachment for payment Matthew Jarvis Req.#02. In the amount of4W3a00. Project #1409 Code 07-412 Eve )SJoo EFTA00622391