LSJ CONSTRUCTION Subcontractor Payout Project: Kitchen Renovation #1007 Trade: Cabinetry Subcontractor Tom Hoch Invoice # Phase # Requisition #03 06-400 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: January 13, 2011 Requisition #03 Insurance ex *ration: January O. 1900 100% 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: $99,000.00 $9,500.00 $0.00 $108,500.00 $108.500.00 $0.00 $99,000.00 IV . $9,500.00 OK $0.00 d. Shipping None Total Outlays for this contract incl. Sales or Use Tax: $108,500.00 JEE approval attached YES NO X Submitted Bill Signed: Date: January 13, 2011 Approved by: Emad Signed: Date: )1)\ 11 Invoice Attached YES NO X lir Approved by: Gary Signed: Date: Jan 13, 2011 Approved by: Signed: Date: EFTA00600581
LSJ CONSTRUCTION Project Kitchen Renovation a1007 tubconirocsor lull legal name Torn Itch Phase a 06400 Trade. Cabinetry Invoice a Requismon e0.1 Insurance ormination Payment Panal Final X InyoicerReq# Date CIO Amount Rol/image Doe Paid Dale Pad Check, Balance I Contract Amount 1 Or 13)10 99,000 00 COE con CO13 C0.14 COBS Bankelle 9.00000 Adrustmenl SQ0 40 Reoosillen et 10/13/10 DerpOsit 50% 49.500 00 000 49,500.00 40 SOO 00 t\r"::1 000 Requisition #2 11r24110 Progress 49.500 00 0.00 49.500.00 49.5000u 000 Requisition e3 01/12)11 Final 9 500 00 000 0.50000 9 50000 Requisition #4 000 Requisition a5 000 Requisition e6 - Reotesilion fa RequiSiliOn 08 - Requisition #9 - 9.500001 liras 108,500.00 000 108.500.001 99.00000 Date Revised January 13 2011 Contract Amount • Pnese Contract C001 CDC CO30 C0e4 COe5 Kitchen CabinetryiBanqueltes 99.000 00 Bankene 9.000 00 Description 500 00 Descnption DeSenplion Description 0eScripbon Contracted To Dale Balarce c4 Contract wRolanape 108,500 00 EFTA00600582
PROFORMA INVOICE 1115718-Final Invoice Dale January 12, 2010 Sold to BRICE GORDON/LSJ LITTLE ST. JAMES ISLAND 6100 RED HOOK QTRS B3 ST. THOMAS, VI 00802 Tom Hoch Designsw Issentx Atchileclute Space nonnwg Interior Design FF&E Procurement Ship to BRICE GORDON/LSJ LIME ST. JAMES ISLAND 6100 RED HOOK QTRS B3 ST. THOMAS, VI 00802 Remit to: 125 N.E. 38th Terrace Oklahoma City, OK 73015-2499 + 405/524-0505 + Fax: 405/524-0531 Item Quantity Description Unit Price Total I Lot Per October 12. 2010 Proposal Kitchen Cabinetry/Banquettes Modern Gloss-Lacquered Kitchen Cabinetry $85,700.00 1 28 It Banquette Seating 59.000.0() Installation $9,500.00 All Labor and packing marl to load & pack goods in Owner's 4011. Shipping Container S1,800.00 Field Dimension Trip 52,500.00 Less Prior Billings -599.000.00 dt (col4-011/ -b ,,,, 1 #1(2 (Sales Tax, Plumbing & Kitchen Equipment. Stone Tops, and Container Shipping all Excluded-Pricing is FOB OKC) ///MADE IN THE USA/// 0 *****FINAL INVOICE Invoice Total $9,500.00 I I HU I loch I1/4 ).tiutx, I lb: tcmtb macs tax the Stan) prt)klalionta ONI 1 Any .al,. in (Inc en (Ober mate...hall 1w.yin,IIcti I.. Ilul Imes andinnty by the clime EFTA00600583
Emad Hanna From: Eve Febe I Ogmail.corn] Sent: Thursday, January 13, 2011 12:36 PM To: Emad Hanna Cc: Monique Harry Subject: Tom Hoch Req. #03 1007 Attachments: Tom Hoch Req. #03 1007.pdt Coed Afternoon Emad, Attachment for payment Tom Hoch Req. # 03. In the amount of $9.500.00. Project 1007 Code 06-400 Eve EFTA00600584

