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efta-efta01110220DOJ Data Set 9Other

LSJ CONSTRUCTION

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DOJ Data Set 9
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efta-efta01110220
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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: Flagpole Pool #1013 October 6, 2011 Trade: Pools Requisition #6 -REVISED Subcontractor Virgin Islands Gunite Pools Insurance ex iration: May 14, 2012 Invoice # Phase # Requisition #6 -REVISED 13-150 Partial X Final 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 Labor and materials 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: October 6, 2011 Approved by: Signed: Date: $200,000.00 $25,213.44 $0.00 $225,213.44 85% $190,471.25 $0.00 $170,471.25 $20,000.00 $34,742.19 incl. $190,471.25 Invoice Attached YES NO X Gary Approved by: Gary Signed: Date: O ober 6, 2011 Approved by: Signed: Date: EFTA01110220 LSJ CONSTRUCTION Project Flagpole Pool #1013 ontractor - full legal name: Virgin Islands Gunite Pools Phase # 13-150 Trade: Pools Invoice N: Requisition #6 -REVISED Insurance expiration: 5/14/12 Payment Partial Final X Invoice/Req# Date C/O Amount Retainage Due Paid Date Paid Check# Balance Contract 02/02/11 Pool 200,000.00 CO#1 COQ CO#3 CO#4 CONS 06/29/11 Change plaster 10,471.25 09/06/11 upgrade board 9017.75 09/06/11 Lighting 3,460.44 09/06/11 Cartridges 2,264.00 Requisition #1 Requisition #2 Requisition #3 Requisition #4 Requisition #5 Requisition #6 02/15/11 Deposit 40,000.00 0.00 40,000.00 40,000.00 0.00 03/02/11 Steel Complete 40,000.00 0.00 40,000.00 40,000.00 0.00 03/22/11 Gunite Complete 40,000.00 0.00 40,000.00 40,000.00 0.00 06/10/11 Tile Complete 40,000.00 0.00 40,000.00 40,000.00 0.00 07/11/11 Change plaster 10,471.25 0.00 10,471.25 10,471.25 0.00 09/06/11 Progress 20,000.00 0.00 20,000.00 20,000.00 Total 190,471.25 0.00 190,471.25 170,471.25 20,000.00 Date Revised: October 6, 2011 Contract Amount - Phase contract CO1/1 CO#2 CO#3 CO#4 CONS Pool Change plaster CO5 upgrade board Lighting Cartridges 200,000.00 10,471.25 9,017.75 3,460.44 2,264.00 Contracted To Date Balance of Contract w/Retainage 225,213.44 34,742.19 EFTA01110221 LSJ CONSTRUCTION Subcontractor Payout Project: Flagpole Pool #1013 Trade: Pools Subcontractor Virgin Islands Gunitc Pools Invoice # Phase # Requisition #6 13-150 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 Retain Sales Tax Liability: a. Subcontractor/Supplier is liable, expl b. Non-resident Subcontractor/Supplier c. Use Tax to be paid by our company: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: September 26, 2011 Insurance ex iration: May 14.2012 Partial X Labor and m nd Applicable: JEE approval attached YES NO Submitted Bill Signed: Date: September 26, 2011 Approved by: Emad Signed: Date: /0 Requisition #6 Final $200,000.00 $25,213.44 $0.00 $225,213.44 $210,471.25 $0.00 $170,471.25 $40,000.00 $14,742.19 In ice Attached NO X Approved'by: Signed: Date: EFTA01110222 ISJ CONSTBUCT ION Projecl Flagpole 11onl 111(113 omracior full legal Virgin Islands Oulúlo Portis Phaso /1 13-150 Trade: l >pols Involco 11: Roguisition rth Instimacci expiration: Date 02/02/11 5114112 Paymenl Partial Final X lnynicerlregl/ c/0 Amount Retainage 011e Paid Date Paid Checklt Balance Conlract Pool 200 000.00 CON1 CON2 CON3 CO1/4 CON5 06129/11 09/06(11 Change pinsler 10.471.25 upgraee board 9,017.75 09/06/11 lighling 3,460.44 09/06/11 Cadrrdgos 2,264.00 Requisition Hl Requisition 02 liequisilion 113 Ituquisilion //4 Rnr•,uisilion //5 Requishion 116 02/15/11 Oeposa 40000.00 0.00 40,000.00 40.000.00 0.00 03/02/11 Blod Corngtelo .10,000.00 0.00 40,000.1» 40.000.00 0.00 03/22/11 Cuúle Completo 40.000,03 0.00 40.000.00 40,000.00 40.000.00 0.00 0.00 00/10111 Tilo Completo 40,000.00 0.00 40.000.00 07/11/11 Chango plaster 10.471.25 0.00 10.471.25 10.47125 0.00 09/06/11 Pro oss 40.000.00 0.00 40.000.00 40,000.00 Total 210,471.251 0.00 210,471.25 170,471.25 40,000.00 1 Dale Revisor': Suplanter 26. 2011 Cootract Arnounl - Phaso tommel CO11 t CON2 CO/13 CO//4 CON5 Pool 200,000.00 Cluinge pL•rster CO5 upgrade board botiting Cattridges 10,471.25 0,017.75 3,460.44 2,264.00 Conbacted -ro Dato Balance ol Centrad yriltelainage 225,213.44 14,742.19 EFTA01110223 Lake Havasu Gunite and Concrete/Virgin Island Gunite Pools Lake Havasu Liunile and Concrete Invoice 2201 Donna Dr. Lake I lavasu City, AZ 86406 DATE j INVOICE # BILL TO 1.81, TLC 6100 Red Hook Quarter, Ste. 133 Si. Thomas. USVI 00802 IW blp liali11.1 11 .1illi I. MI a,k0h unc,‘ Ina 00/06O011 1013 TERMS I DUE DATE Net 30 I0/06/201 1 AMOUNT DUE ENCLOSED $60,206.19 0'1 Activity Amount • Final balance due upon start-up and use 40,000.00 • Change order 03 - Upgrade to 14 fi. diving board • )•• 9.017.75 • Change older #14 - I 2V lights 3,460.44 • Addition - 6 LEI.) pool lights, controllers, and transfonnos • 4;464,00- • Addition - 16 new cartridges thr clean and clear 520 sq. R. filters 2,264.1)0 • Manifold bottom/pipe assembly - bulk head unions. O rings and labor to repair pool equipment caused by dead 0.00 heading equipment Project: Flagpole Pool #10B 1 TOTAL $60,206.19' EFTA01110224

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