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efta-efta01123619DOJ Data Set 9Other

LSJ CONSTRUCTION

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DOJ Data Set 9
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efta-efta01123619
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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 Trade: Pools Subcontractor Virgin Islands Gunite Pools nvoice # Phase # Requisition #6 13-150 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: September 26, 2011 Insurance ex iration: Ma 14, 2012 Partial X Requisition #6 Final $200,000.00 $25,213.44 $0.00 $225,213.44 Total Work Completed to Date: 93% $210,471.25 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 $0.00 $170,471.25 $40,000.00 $14,742.19 incl. Total Outlays for this contract incl. Sales or Use Tax: $210,471.25 ,V) JEE approval attached YES NO X Submitted Bill Signed: Date: September 26, 2011 Approved by: Emad Signed: Date: Invoice Attached YES NO Approved by: Gary Signed: Da : September 26, 2011 Approved/by: Signed: Date: EFTA01123619 LSJ CONSTRUCTION Project Flagpole Pool #1013 :ontractor - full legal name: Virgin Islands Gunite Pools Phase # 13-150 Trade: Pools Invoice #: Requisition #6 Insurance expiration: 5/14112 Payment Partial Final X Invoice/Reg# Date C/O Amount Retainage Due Paid Date Paid Check# Balance Contract 02/02/11 Pool 200.000.00 CON1 CO#2 CO#3 CO*4 CO#5 06/29/11 Change plaster 10.471.25 09/06/11 upgrade board 9017.75 09/06/11 Lighting 1460.44 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 40000.00 40000.00 0.00 03/02/11 Steel Complete 40,000.00 0.00 40.000.00 40000.00 0.00 03/22/11 Gunite Complete 40,000.00 0.00 4000000 40.00000 0.00 06/10/11 Tile Complete 40.000.00 0.00 40.000.00 40.00000 000 07/11/11 Change plaster 10.471.25 0.00 10,471.25 10.471.25 0.00 09/06/11 Progress 40.000.00 0.00 40.000.00 40.000.00 Total 210.471.25 0.00 210,471.25 170471.25 40.000.00 Date Revised: September 26, 2011 Contract Amount - Phase contract CO#1 CO#2 CO#3 CO#4 CO#5 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 14.742.19 EFTA01123620 Lake Havasu Gunite and Concrete/Virgin Island Gunite Pools I r ' BILL TO cle13O1 lop 'Nunn/. and whom %%ill. your payment Invoice DATE INVOICE # ‘) 2t)I I 1011 TERMS DUE DATE Net 30 10/06/201 1 AMOUNT DUE ENCLOSED 560,206.19 chi- -wig Activity Amount • Final balance due upon start-up and use • Change order #3 - Upgrade to 14 11. diving board • Change order #8 - &-12V lights • Addition • 6 LED pool lights, controllers, and transformers • Addition - 16 new cartridges for clean and clear 520 sq. ft. filters • Manifold bottom/pipe assembly - bulk head unions, O rings and labor to repair pool equipment caused by dead heading equipment Project: Flagpole Pool #1013 ri llenTfr 110000 -FSku Vir,q4 ‘ . 40,000.00 9,017.75 3,460.44 5,461.00- ' 2,264.00 0.00 owl , EFTA01123621

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