EFTA00622379.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Existing Compound Remodel #1009 Trade: Architectural Woodwork Subcontractor MSI Interiors Invoice # Phase # Req. #1 06400 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: August 2, 2010 Insurance ex iration: January 0, 1900 Partial X Req. #1 Final $9,450.00 $0.00 $0.00 $9,450.00 50% $4,725.00 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: August 2...2Dj9 Approved by: E mad Signed: Date: $0.00 I $0.00 $4,725.00 $4,725.00 None $4,725.00 Invoice Attached YES NO X Approved by: Ga Signed: Date: August 2, 2010 Approved by: Signed: Date: EFTA00622379 EFTA00622380 EFTA00622381 ACCOUNT 0 CUSTOMER P.01 TERMS 3014 CROWN EAY ST. THOMAS USVI 00302 PHONE' (340) 776-8800 FAX: (340) 774-3170 WVAY.ITIS I VI.0 (pm f;C:o LC CON.STPUCTION cr.,:r0rrrrrrnrr 21;22) ;; 11 %„_„/ IA..er•tri... T'Sr FORT MYLNER SHOPPING CENTER ST. THOMAS USVI 00802 PHONE 1340) 7751665 FAX (340) 775-3309 www.intcuo: suicuni SHIP TO CONSTFricTioN EX1STl:G , rfArle;olini_r KENt, Tii(01Air; 0r:4362 - :TR irirrie:zr ORDER+, ORDER DATE 1 aSkat iNvoCEti INVOICE DA tE NET 1DTH FOLLOWIN 4015S02 AMOu:, v ORDERED alien cilDtttol SHIPPED WM DESCRIPTION PRCE irr0:0nunt Pi a : hant-i 2c.rmplete total ordet. r50.1 befofe orri rinr: befcr;.•,, pickup Thank yen for ysni: interest: Uri i 1 r ftw-sicn Consultant ulf 20, 2010 I I I • •r• •.• . .... • Ticket. • ..... k EFTA00622382