EFTA00724692.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Main Compound Renovation #1009 Trade: Doors Subcontractor Al Development, LLC Invoice # Phase # Requisition #01 08-210 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: September 27, 2010 Requisition #01 Insurance ex iration: March 1, 2011 Partial X $22,901.00 $0.00 $0.00 $22,901.00 Total Work Completed to Date: 50% $11,450.50 Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: a. Subcontractor/Supplier is liable, explak install only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping $0.00 $0.00 $11,450.50 $11,450.50 None Total Outlays for this contract incl. Sales or Use Tax: $11,450.50 JEE approval attached YES NO X Submitted Bill Signed: Date: September 27, 2010 Approved by: Emad Signed: Date: Invoice Attached YES NO Approved by: Gary Signed: Date: September 27, 2010 Approved by: Signed: Date: EFTA00724692 LSJ CONSTRUCTION Protect Main Compound Renovation #1009 ≥ubcontractor full legal name: Al Development. LLC Phase It 08-210 Trade. Doors Invoice ft: Requisition #01 Insurance expiration: I -Mar-11 Payment Partial Final X Invoice/Req# Date C/O Amount Retainage Due Paid Date Paid Check# Balance Contract Amount 0927,'10 22901 00 CO01 CO#2 CO#3 CO#4 CO#5 Requisition #1 03131110 Deposit 11450.50 0 00 11,450.50 11,450.50 Requisition #2 Balance 0.00 Requisition #3 0.00 Requisition #4 0.00 Requisition #5 0.00 Requisition 416 Requisition #7 Requisition #8 Requisition #9 Total 11.4;0;0 0.00 11,450.50 000 11,450 50 Dale Revised September 27. 2010 Contract Amount - Phase Contract CON1 CO#2 CO#3 CO#4 CO#5 Shutters. Door panels 22,901 00 Descnptton Descnplion Description Description Descnphon Contracted To Date Balance of Contract wIRetainage 22,901 00 11,450 50 EFTA00724693