Case File
efta-efta01118389DOJ Data Set 9OtherLSJ CONSTRUCTION
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01118389
Pages
6
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
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:
$28.189.05
Invoice Attached
YES
NO
X
Approved by: Gary
Signed:
Date: January 4, 2011
Approved by.
Signed.
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
Technical Artifacts (7)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
340-775-3222Phone
340-775-9222Phone
770.263.9898Phone
770.352.9222Phone
8431185Wire Ref
REFRIGERANTWire Ref
RefrigerationForum Discussions
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