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efta-efta00622426DOJ Data Set 9Other

Emad Hanna

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DOJ Data Set 9
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efta-efta00622426
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Emad Hanna From: Monique Harry Sent: Wednesday, JuIMIMI MM To: Emad Hanna Subject: Universal Foam Attachments: Universal Foam, Inc.pdf Emad, Attached for payment Universal Foam, Inc Req 1 in the amount of $1,373.82. Project 1009 Code 07-412. Monique Your E-mail and More On-the-Go. Get Windows Live Hotmall Free. Sion LID now C i t &t 6 S 1 EFTA00622426 LSJ CONSTRUCTION Subcontractor Payout Project: Existing Compound Remodel #1009 Trade: EIFS Cornice Subcontractor Universal Foam, Inc. Insurance ex iration: January O. 1900 Invoice # Phase # 1 07-412 Partial X Final Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: July 14, 2010 1 $2,747.64 $0.00 $0.00 $2,747.64 Total Work Completed to Date: 50% $1,373.82 Less Retainage: $0.00 Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: $1,373.82 Sales Tax Liability: 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: July 14. 2010 Approved by: Emad I $0.00 $1,373.82 None $1,373.82 Invoice Attached YES NO X Approved by: GAry Signed: Date: July 14, 2010 Approved by: Signed: Date: EFTA00622427 LSJ CONSTRUCTION Protect Existing Compound Remodel #1039 Supplier • full legal name Universal Foam Inc Phase is 07.412 Trade Errs Invoice St I Date Revised July l4, 2010 Insurance expiration Payment Partial Final x Date C/O Amount n Due Paid Date Paid Check# Balance P.O. Amount 07/13110 2.747 64 COM con con CO#4 COI'S Ri •uisltico Pt 1.37362 0.00 I .82 1.373 .v Requisition #2 [ 0.00 - 0.00 Requisition N3 0.00 R - • uisitico #4 0.00 [Total 1.373.62 0.00 187342 0.00 1.37382 ConlIneel Amoseil • Muse PO CONI COAI2 CO#3 C0074 COPS EIFS Comics Z747.64 Description Description Description Description Descnotion Contracted To Date Balance of Contract wiRotoinape 2.747 64 1873.82 EFTA00622428 17630 F Colonial Drive Orlando. It 32820 407-568-89 Fa\ .107.So8-R92I Bill To Brien Gordon 1..S1 tittle St. James Island 6100 Red Gook Quarter IS3 St. Thomas. VI 00802 Invoice Date Invoice # 7/13:2010 12344 Job Name, adgItot # (3riee tiordoivi-SJ Little St. James Island 6100 Red I look Quarter 133 St 'ilsonnis. Vi 110802 P.O No. Terms Due Date Ship Date Project Order Number wIP - COD I XIC on receipt T13/2100 7;11 2010 Description Oty Rate Amount Cornice lit 9.5%11070e% 1.04EPS, HARDWATIPRIMM MM Mi IN TI IF USA 6 --- CPO 21.0...5)-7 Y --- illP 07 P7- i/O 42 65.42 2,747 64 --_,.... /373 . 62 Thank sou for your business. Subtotal 52747 64 Sales Tax (6.5%) sou() Total $2.747.64 Payments/Credits soon Balance Due 52.747.64 EFTA00622429

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