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efta-efta01118389DOJ Data Set 9Other

LSJ CONSTRUCTION

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DOJ Data Set 9
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efta-efta01118389
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EFTA Disclosure
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LSJ CONSTRUCTION Subcontractor Payout Project: Main House Renovations #1009 Trade: Air Conditioning Subcontractor Atlanta Refrigeration Invoice # Phase # Requisition #01, 02 15-800 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: I $28,189.05 Balance to Finish including Retainage: $0.00 Sales Tax Liability: January 4, 2011 Requisition #01, 02 Insurance ex i iration: March 26. 2011 $28,189.05 $0.00 $0.00 $28,189.05 100% $28.189.05 $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: $0.00 d. Shipping None Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: January 4. 2011 Approved by: Emad Signed: Date: $28.189.05 Invoice Attached YES NO X Approved by: Gary Signed: Date: January 4, 2011 Approved by. Signed. Date: EFTA01118389 LSJ CONSTRUCTION obcontreClOr full insurance [ Invoice/Re:0 Protect legal name. Phase ST Trade InvorCee expiration' Dale Main House Renovations 01009 Atlanta Refrigeration '5-800 A, Conine:ming Requisition 001. 02 28-Mari 11 Dale Revised January 4, 2041 Payment Partial Final X C/O Amount Retinas@ Due Paid Dale Paid Check*/ flelence— I Contract Amount 10/15110 28.189 05 coal C004 C003 C004 0005 Requisnian 01 01/04/11 Req. 01 1.502 12 0.00 1.50112 26 686.93 1.502 12 Requisition 02 01/04/11 Reg 02 26.686.93 26.686.93 Regulettion 03 0.00 Requisition #4 000 RequiellIOn 05 Requisition 08 Requisition 07 Requisition 08 Requisition #9 Conant Amount - Phase Canna Cori CCW2 con C004 C01/5 28189.05 28.18905 000 1.Tee os] Au Condition 419_ 28.189 05 Description DeseSion Description ion Contracted To Dale Balance of Contract w/Relainage 28.180,05 EFTA01118390 4tlanta Refrigeration Service 340-775-3222 ✓C =A 14 INVOICE NO. Dept ilk,' 583541 I'o lIO\ n•Hi2ou Ula ala. GA 303/4.0200 CHARGE TO. ..5.. LLL: SERVICED AT. _rye s sr,: .arrei STORE A ... . ADDRESS ,i- :vs Red Hnne • ..k.arler Sure R., I ADDRESS L.ase zainn..;ifltn, CITY - se.atl ! T I -an at _ STATE• _ ----. YIP t•:080:' i CITY -:: • ssr..nas . STATE VI 12!D .-..,302. 1 TEL • 340.75.2:T2E CONTACT fic..4, &four it_.:EL • : FAX 4. i . —__ AUTHORIZED BY Bill ;tin ; es • NAME. asc i MAKE. See breeze MODEL tc• 2esitn. SERIAL o s CUSTOMER COMP! awl Rew fie .aus. isIstS riOrn :I‘SAICif rcom s's so !seal se- ecE•Ale eToaerTisso a'ea fry ,: !OI UM f10:11 C(9113' WORK PERFORMED: Arrsieo en site as ic •esca)4ea inns coin treater tors Remove a a;. ;mos%) ann eiasoc Prepa-y ;wavy :4 tie 'me" eastS 'er instassyliscr. in Ow, framagecs coila;e need assistance sr ;eery; cnnaacsess 3!' af tool ;sag tae, nave been ces:tiebece.t: aria reaoy to, 'enlace' A's erten:lea 'me sets ace centre: vaanife• the :an ::eaIres system !r: twit :Cni3e"Sing Vel 2;' EACH AtitOINI ' ree5 :cope' pi; -; 5t)' rantras Jar-) REFRIGERANT TOTAL. MATERIALS: its::: RECOVERY DISPOSAL RECt3IMINC FREIGHT TOTAL- 3'24 i TRUCK SERVICE MILES VACUUM WELD TS% SILVER WELD 45% SILVER TOTAL MISC/WELDING: . . - - . ... DATE *2'4 'Z'r-t. START - l'. AM . END* .: :Y.; 014 SERVICEMAN D:00.! Filsasse TOTAL LABOR SA.% ::: SERVICE MECHANIC'S SUGGESTIONS: CUSTOMER'S SIGNATURE • PR.NT NAME) FREIGHT SAL ES TAx. TOTAL DUE. 31.502 12 EFTA01118391 A tlanta Refrigeration Service 340-775-9222 itivoicE NO. Perl I iin" 583539 PC ) BO , 4O,ov Aclanla. I; t CHARGE .1(‘ SERVICED AT II Ja s ADDRESS ,nb. • ADDRESS 1 II. I :ITY - . • 1't 114).114'. JIM& ZIP ..•(Iiia• Cll.. : • l'f•G.,. STATE t i TEL * LT' CONTACT Wes. [warm ; rEi . I ray a P.O MS Na - - - - _ - _ - _ - _ - _ - . STORE g ZIP !:.0..L AUTHORIZED St Hm R' • A..'" NAME 3:c MAKE' MODEL a SERIAL a CUSTOMER COMPLAINT hist.ohti./- ?f.: tr. .Ten:ra. ong Ine meaty pc., WORK PERFORMED :fr.. . ,Ae'4Irk; DES.TRIPTION By_ . . . . ... . ._. ____ REFRIGERANT TOTAL MATERIALS r e. ." RECOVERY DISPOSAL RECLAIMING FREIGHT _ rOTAL a . . _ . TRUCK sERvic i MILES •ACuutA WELD IS'. SILVER WELD AV. SILVER TOTAL MISCNVELDING DATE 2 - 4 . . STAR' .( AM END I . . r•T.' SERVICEMAN, Cu.;: i-:Lu...:t• TOTAL LABOR- SERVICE MECHANICS SUGGESTIONS CUSTOMERS SIGNATURE •PRETT NAME FREIGHT SALES TAY. Te...Tf‘L DUE $26.666.93 EFTA01118392 Atlanta Refrigeration Service Quote Atlanta Refrigeration Service uoTE PO BOX 80726, Atlanta, GA 30366 Tel: 770.352.9222 Far:770.263.9898 Little Saint Janes pate: Sep 8, 2010 I Little Saint James St. Thomas, VI 00802 I Tel • Fax ARS Quote et Submitted 9/: 8431185 Sean Dillon Original ARS Inn: I. Submitted To: Ehtt Rowtes Original Cali Pete: 8/26/2010 Ipment: Split-System enufecturer: Carrier tate it 41on 16 SEER dal S: ______..______ The following quote is for a split-system. This quote includes the cost of a high eliciency 4 ton split-system with imitable I speed blower. IN light, whole house dehumidifier, and the labor and materials to install them Once done with the installation the technician will test the unit and ensure it's proper operation. Any additional parts or repairs needed will be quoted separately. Thank you for choosing Atlanta Refrigeration Service -'Your Single Source Responsibility." r— Condensing Unit, High Effciency. 4 Ton 1 0 $3,748.50 Air Handler 1.0 $1,458.75 Al Duct Work Materials 1.0 $5,454.00 Copper Lines & Insulation 1.0 $820.00 Ultra Violet Light air purifier 1.0 $342.00 Fiter & Suction Dries 1.0 $68.00 Thermostat. Honeywell THKr000 programmable 1.0 $168.00 Al Misc. Installation & Low Voltage Electrical Supplies 1.0 $400.00 --..-.....! $2,357.55 Dehumiddier 1.0 Electronic Air Fitter 1.0 $1,006.20 Advanced Technician Labor 68.0 $6,460.00 Assistant To Technician 68.0 $3,740.00 Important Notes: Total Materials: $15,823.00 ' Lead time is contingent upon apprmel of quote and availability of parts. The freight charges on this quote reflect ground shipping Shipping will be billed separately. If parts are expedited then additional freight charges will apply Total EP.A. Total tallsc.AileldIng: Total Labor: $10,200.00 Initial Call: Shipping/Freight $663.93 Warranty Information: Subtotal: $26,686.93 ' Standard mantdactunar's warranty applies to parts, 30 days warranty on labor Tax: Total: 826,686.93 x.. ( .fia• " '..: 'NI e • : 71' :M.:: •It I. ars.objectriareinc.conVdolquoteVierr?i. 112 EFTA01118393 Emad Hanna From: Eve Febe Sent: Wednesday, January , 4 01 9:51 To: Emad Hanna Subject: Atlantic Refrigeration Req. #01.02 1009 Attachments: Atlantic Refrigeration Req./101,02 1009.pdf Good Morning Emad. Attachment for payment Atlantic Refrigeration Req. #01,02. In the amount of $28.189.05. Project 1009 Code15-800 Eve 1 EFTA01118394

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Phone340-775-3222
Phone340-775-9222
Phone770.263.9898
Phone770.352.9222
Phone8431185
Wire RefREFRIGERANT
Wire RefRefrigeration

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