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efta-02690921DOJ Data Set 11Other

EFTA02690921

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DOJ Data Set 11
Reference
efta-02690921
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
LSJ CONSTRUCTION Subcontractor Payout Project: Island Trails #1012 Trade: Stonework Subcontractor Rodney Rusphille Invoice # Phase # Requisition #1 04-450 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: a. Subcontractor/Supplier is liable, explaii Labor and materials b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping June 22, 2011 Requisition #1 Insurance expiration: January 0, 1900 Partial X Final $50,000.00 $0.00 $0.00 $50,000.00 53% $26,700.24 $0.00 I $0.00 $26,700.24 $23,299.76 incl. Total Outlays for this contract incl. Sales or Use Tax: $26,700.24 JEE approval attached YES NO X Submitted Bill Signed: Date: June 22. 2011 Approved by: Emad Signed: Date: Invoice Attached YES NO X Approved by: Gary Signed: Date: June 22, 2011 Approved by: Signed: Date: EFTA_R1_02031913 EFTA02690921 LSJ CONSTRUCTION Project Island Trails #I012 ontractor - full legal name: Rodney Rusphille Phase # Trade: Stonework Invoice #: Requisition #1 Insurance expiration: Payment Partial Final x Invoice/Req# Date C/O Amount Retainage Due Paid Date Paid Check# Balance I Contract 051Q2;1 1 Stonework 50,C0n 00 CO#1 CO#2 CO#3 CO#4 CO115 Requisition #1 Requisition #2 Requisition #3 Requisition #4 Requisition #5 Requisition #6 •: , 1711 1 Progress ;20. fn. 7.• 0.09 26.700.24 26,700.24 0.00 0.00 0 0.00 0.00 0 .-.A). 0.00 0.00 r,, no 0.00 0.00 e u() 0.00 0.00 Total I 26 700 24 I 0.00 I 26 700 24 I 0,00 26 700 24 Date Revised: irte 22. 2r21 Contract Amount - Phase contract CO# 1 CO#2 CO#3 CO#4 CO#5 Stonework 50,000.00 Descoptcon Contracted To Date Balance of Contract w/Retainage 50,000 00 23,299.76 EFTA_R1_02031914 EFTA02690922 Rodne Rus >hille June 21, 2011 Requisition #1 Island Trails #1012 Stonework Payment requested for the completion of 953.58 flft of stone wall through 17 June 2011. 953.58 f/ft @ $28.00 = $26,700.24 Total amount due $26,700.24 Thank you Req. #I 953.58 f/ft $26,700.24 EFTA_R1_02031915 EFTA02690923 North Terrace Wall Stone Work 17-Jun-11 Descri. Lion Measurement Sq Footage (each) Total Sq Footage Space between stairs and first column 14'6" x 8'6" = 123.25 123.25 Top of wall 14'6" x 16" = 18.85 18.85 Back of wall 14'6" x 2' = 29 29 Columns 1-4 (front 3 sides) 16" x 16" x 40" x 9.6" = 56.9 x 4 = 227.6 Back of Columns 40" x 32" = 8.81 x 4 = 35.24 Back sides of columns 2' x 1' = 2 x 4 = 8 TOTAL SQ FOOTAGE 270.84 OF COLUMN Face of wall between columns 7' x 8'6" = 59.5 x3 = 178.5 Between columns (top of wall) 16" x 7' = 16.1 x 3 = 48.3 Back side of wall 2' x 7' = 14 14 TOTAL FOR TAKE OFF 953.58 EFTA_R1_02031916 EFTA02690924 /7 tt,t - / eft - - 4 Cell" knel Ps 57791 le,S EFTA R1_02031917 EFTA02690925

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