LSJ CONSTRUCTION
Subcontractor Payout
Project: Existing Compound Remodel #1009 August 2, 2010
Trade: Architectural Woodwork
Req. #1
Subcontractor MSI Interiors
Insurance ex iration: January 0, 1900
Invoice # Req. #1 Partial Final
Phase # 06400 X
Original Contract Sum: $9,450.00
Change Orders Submitted & Approved: $0.00
New Change Orders: $0.00
Total Work Contracted to Date: $9,450.00
Total Work Completed to Date: 50% $4,725.00
Less Retainage: $0.00
Total Payments Made to Date: $0.00
Total Current Payment Due: $4,725.00
I
Balance to Finish including Retainage: $4,725.00
Sales Tax Liability:
a. Subcontractor/Supplier is liable, explaiiinstall only / tax
included in contract
b. Non-resident Subcontractor/Supplier Bond Applicable.
c. Use Tax to be paid by our company:
d. Shipping None
Total Outlays for this contract incl. Sales or Use Tax: $4,725.00
JEE approval attached Invoice Attached
YES NO YES NO
X X
Submitted Bill Approved by: Ga
Signed: Signed:
Date: August 2...2Dj9 Date: August 2, 2010
Approved by: Emad Approved by:
Signed: Signed:
Date: Date:
EFTA00622379
EFTA00622380
EFTA00622381
11
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3014 CROWN EAY FORT MYLNER SHOPPING CENTER
ST. THOMAS USVI 00302 ST. THOMAS USVI 00802
PHONE' (340) 776-8800 PHONE 1340) 7751665
FAX: (340) 774-3170 FAX (340) 775-3309
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Thank yen for ysni: interest:
Uri i 1 r
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ulf 20, 2010
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