EFTA00609235.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal #1010 Trade: Fire Protection Requisition #01 Subcontractor Abbott & Lineham Mechanical Insurance ex iration: March 26.2011 February 2, 2011 Invoice # Phase # Requisition #01 15-500 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Partial X Final $43,500.00 $0.00 $0.00 $43,500.00 95% S41,325.00 Less Retainage: $2,066.25 Total Payments Made to Date: $0.00 Total Current Payment Due: i $39,258.75 7 Balance to Finish including Retainage: $4,241.25 Sales Tax Liability: a. Subcontractor/Supplier is liable, explait install 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: $41,325.00 JEE approval attached YES NO Submitted Bill Signed: Date: February 2. 2011 Approved by: E d Signe.. Dat: a\t\\‘\ Invoice Attached YES NO X Approved by: Gary Signed: Date: February 2. 2011 Approved by: Signed: Date: EFTA00609235 EFTA00609236 EFTA00609237 Emad Hanna From: Monique Harry Sent: Friday, February 04, 2011 10:40 AM To: Emad Hanna Subject: Abbott & Lineham Req 1 Mech Desal Fire Attachments: Abbott Mech Desal Fire Req 1.pdf Emad, Attached for payment Abbott & Lineham Mechanical Fire Protection Req 1 in the amount of $39,258.75. Project 1010 Code 15-500. Monique EFTA00609238