EFTA00622388

LSJ CONSTRUCTION Subcontractor Payout Project: Existing Compound Renovations #1009 January 20, 2011 Trade: Roofing Assembly Requisition #02 Subcontractor Matthew Jarvis Insurance ex iration: December 31. 2011 Invoice # Requisition #02 Partial Final Phase # 07-412 X Original Contract Sum: $13,440.00 Change Orders Submitted & Approved: $5,500.00 New Change Orders: $0.00 Total Work Contracted to Date: $18,940.00 Total Work Completed to Date: 100% $18.940.00 Less Retainage: $0.00 \NV Total Payments Made to Date: $13.440.00 tli2-411\" Total Current Payment Due: $5,500.00 Lifc Balance to Finish including Retainage: $0.00 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: $18,940.00 JEE approval attached Invoice Attached YES NO YES NO X X Submitted Bill Approved by: Gary Signed: Signed: Date: January 20, 2011 Date: Ja ary 20, 2011 Approved by: Emad Approved by: Signed: Signed: Date Date: EFTA00622388 LSJ CONSTRUCTION Piciett Existing Compound Renovarisns 111009 Sur)Om lull legal name. Matthew Janne Dale Revised January N 2011 Phase # 07.412 Trade. Roofing Assembiy Invoice a. Requisition #02 insurance expriarion 31.Ciec.i i Payne" Partial Final X Invorce/Regit Dale OD Amount Retainage Due Paid Dale Paid Cheat/ Bagnce P.0 Amount 07/29210 13.440.00 C0al 01114211 5.50000 con con can C0a5 Requlerlan#1 07127210 Metal Flaetings 13.440 00 0.00 13.440 00 13.440 00 ro iF ffluisilion #2 01214/11 Compiete gutters 5.500 00 0.00 5,500.00 5.500.00 Requisition n 0.00 Requisition MI 000 Total r 18.94000 000! 10,940 00 13,44000 5.50000! Contract Amount Phase PO metal Fumes/19s 11440.00 Coal Metal Fla shin s 5.500 00 Descripban COW? • Description CO#3 - Description CO#4 Description C045 Descijption Contracted To Oale 18.94000 Balance of Contract w/Relainage EFTA00622389 Mathew Jarvis Date: 1/14/1 1 Contact: Bill Adams Job Location: Little Saint Jeff Copper gutter work Time, materials, bending machine Total: ¶5,500.00 EFTA00622390 Emad Hanna From: Eve Febe ( Sent: Thursday, January 20, 2011 1:32 PM To: Emad Hanna Cc: Bill Rowles; Monique Harry Subject: Matthew Jarvis Req. # 02 1009 Attachments: Matthew Jarvis Req. #02 1009.pdt Good Afternoon Emad, Attachment for payment Matthew Jarvis Req.#02. In the amount of4W3a00. Project #1409 Code 07-412 Eve )SJoo EFTA00622391