EFTA00609257.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Main House #1011 Trade: Excavation Subcontractor Little Buck Trucking Invoice # Phase # Requisition #01 02-200 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: December 21, 2010 Requisition #01 Insurance ex iration: March 1. 2011 S15.000 00 $0.00 $0.00 $15,000.00 Total Work Completed to Date: 17% $2.500.00 Less Retainage: Total Payments Made to Date: Total Current Payment Due: $2,500.00 Balance to Finish including Retainage: $12,500.00 Sales Tax Liability: $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: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: Decembey21.2010 Approved by: E Signed: Date: $0.00 None $2,500.00 Invoice Attached YES NO X Approved by: Gary Signed: 7 Date: December 21. 2010 Approved by: Signed: Date: ft sc Ay.gy 177/1 (7-&-ce EFTA00609257 LSJ CONSTRUCTION Mar• Isouw re 11 iubcontracior • full legal rame Unie Buck Tm:, !---; Phase a 02.2001 Trac,. Excava! or 'motu a Recupittor Insurancir experasor 1 Me! 11 Pernent Pareil l'exil x InvoiceReqe Date GO Arnount Ftetainne Due Pare Date Pare Check* Balance ! conne Amount 12,1310 Budget 15.00.D .0O CON, CO.? CO23 CO/M CO*5 Requise:in E 12;20110 Rte Mi 2 5O0 IX) n.» 2 500 00 250000 iFtequimhbei riQ 0 00 RequisMon 43 r 0.0p Reqws.bon 54 0 00 RequrS.tiOn a5 Requismon 26 - Reg.. »on ar Ramsden 28 Ftequistoon e9 Total I 2 500 00 1 0 ce I 2-5°0 X' o oo 2.500 00 i Dale Rems« December 2'. 20'0 Con tract Arman% Phase Contract COM' con Cola COIN C005 Excavation 15.000 O0 Description Descnprinn pescnotiOn Descnpoon Descopeon Contracted Te Date Banne ol Ccovact Relainage 15.000 00 12,500 00 EFTA00609258 December 20, 2010 Requisition #1 Period I2i 3/I -12'17,10 Payment requested thr the rental ()I'dump truck and operator kir period listed above. 5 days $500.00 per day S2.500.00 ' hank you -r/ EFTA00609259 Emad Hanna From: Eve Febe ItL Sent: Tuesday. December 21, 2010 2:b8 PM To: Emad Hanna Cc: Monique Harry Subject: Main House 1011 Req #01 Attachments: Main House 1011 Req #01 pdf Good Afternoon Emad. Attachment for payment, Little Buck Trucking. Req. #01. In the amount of $2,500.00. Project 1011 Code 02- 200 Eve Febe American Ya 1 EFTA00609260