EFTA00622609.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Cistern Coatings Subcontractor Phillip Mark Invoice # Phase # Requisition #01 03-120 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: December 15, 2010 Requisition #01 Insurance ex iration: March 1, 2011 Partial Final X $3,700.00 $0.00 $0.00 $3,700.00 Total Work Completed to Date: 100% $3,700.00 Less Retainage: $0.00 Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: 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 I $0.00 $3,700.00 / $0.00 None $3,700.00 Invoice Attached YES NO x Approved by: Gary Signed: Date: December 15, 2010 Approved by: Signed: Date: EFTA00622609 ISJ CONSTRUCTION Prcsect Mechanics Desal iutcontraclor • lux legal name Phillip Mark Phase a 03.120 Trade Cistern Coating . BBC Invoice a Reputation *01 Insurance expiratiOn 1-031-11 Payment Partial Final X Invoice/R*0 Date GO Amount Retsina** Due Paid Dale Paid Check* Balance I Contract Amount 1207.10 Punch list touch up 3.70000 CONI CO* CO*3 COs* COS5 Requisition 01 '2 '1,7 In Final 3 700 00 000 3.700 00 3/00 00 Requisition it7 000 Requisition *3 0 00 Requisition* 0 00 Requisition *5 Requisition t Requisition fa Requisition 88 Requisition * Total 3,700 00 000 i 3.76O 001 000 3,700 00 1 Date Revised December 15 CO, r, Contract Amour* - Phase Contract COal CO* C003 Co.' COGS Cistern Coatings 3,700 00 Descnption Descnption Descnption Descnption DeSCelphon Contracted To Date Balance of Contract *Retsina*. 3.700 00 EFTA00622610 Collulor Phone Philip Mark Sub-Contractor LICENSED • • GENERAL BUILDER • CISTERN CLEANING • ROOFS nuNo • PAINTING • SWIMING POOLS FINISH WORK 6 -t > / ~Q~6i 51 111 9D /0 oc?:„. 3 cvl eCi,e ,•( c_-•`( 0 \''\ CzvA (A)1,1 t .(f_ C.. C= cts W)/\t -ic fkoY('s(.6, ( ot) 41-7E_ 0\,6C-C%' L,-\ L) DA kC: Le A\ -EYA k S ('-A\ (4C VI Ey V\ ESTATE WINTBERG No. I .137.6 ST. THOMAS. U.S. V.I. 0O802 \ )(Ac fc, 1J tvli IV\ ‘t 6 r- k ihry 6-k. I • • v 1, \ I r ' 2-, bl:161- tq 1-)CV.3 6CV\A r t1{ " t• 1, - F) r C, C ve' )(-1,\ EFTA00622611