Case File
efta-efta00724690DOJ Data Set 9OtherLSJ CONSTRUCTION
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DOJ Data Set 9
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efta-efta00724690
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LSJ CONSTRUCTION
Subcontractor Payout
Project:
Kitchen Renovation #1007
September 27, 2010
Trade:
Doors
Requisition #01
Subcontractor Al Development, LLC
Insurance ex iration: March 1, 2011
Invoice #
Phase #
Requisition #01
08-210
Partial
X
Final
Original Contract Sum:
Change Orders Submitted & Approved:
New Change Orders:
Total Work Contracted to Date:
$16,382.00
$0.00
$0.00
$16,382.00
Total Work Completed to Date:
50%
$8,191.00
Less Retainage:
Total Payments Made to Date:
Total Current Payment Due:
$8,191.00
Balance to Finish including Retainage:
$8,191.00
Sales Tax Liability:
$0.00
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
$0.00
None
Total Outlays for this contract incl. Sales or Use Tax:
$8,191.00
JEE approval attached
YES
NO
X
Submitted Bill
Signed:
Date: September 27, 2010
Approved by: Emad
Signed:
Invoice Attached
YES
NO
X
Approved by: Gary
Signed:
Date: September 27, 2010
Approved by:
Signed:
EFTA00724690
LSJ CONSTRUCTION
Priciest Kitchen Renovation #1007
≥ubcontractor - full legal name: Al Development. LIC
Phase N 08.210
Trade: Doors
Invoice N: Requisition k01
Insurance expiration: 1-Mar-11
Payment
Partial
Final
X
Invoice,Req0
Date
C/0
Amount
Retainage
Due
Paid
Date Paid
Check#
Balance
Contract Amount
09'27/10
16.382 00
COM
CO#2
CON3
CO#4
CO#5
Requisition NI
03'31/10 Deposit
8.19100
000
8.191 00
8.191 00
Requisition #2
Balance
0.00
Requisition #3
0.00
Requisition #4
0.00
Requisition #5
0.00
Requisition #6
Requisition #7
Requisition #8
Requisition #9
Total
8.19100
0.00
8.191.00
0.00
8.191.001
Date Revised September 27. 2010
Contract Amount - Phase
Contract
CON1
CO#2
CO#3
CO#4
COtt5
Shuners. Door panels
16.382 00
Descn ion
Descnption
Descnphon
Descnption
Descnption
Contracted To Date
Balance of Contract wiRetainage
16,382 00
8,191 00
EFTA00724691
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