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HomeMy WebLinkAboutSpohn Associates - $120,136.50Disbursement Instructions Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower in: (a) the amount of the "Total Due" line in the "Amount of Current Authorized Disbursement" column below; and (b) accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Description of Work Scheduled Value or Contract Amount Percent Complete or Contract Amount Owed Amount of Prior Authorized Disbursement Amount of Current Authorized Disbursement Amount to be paid by the Carmel Theater Development Company, LLC per the Interior Ornamental Installment Purchase Contract March work (Spohn Associates) $ 120,136.50 Grand Total Total,Due:` $‘120;1,S6.50 CRC has inspected the portions of the PAC Equipment completed by Borrower to confirm the Percent Complete in the applicable column above. CRC either has received or waived receipt of conditional lien waivers and other submittals required to be made by Borrower in connection with a disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower. All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (Theater Building Base Structure), dated as of June 30, 2009, by and between Lender and Carmel Theater Development Company, LLC., as amended by that certain Amendment tq Loa yl Agreement, dated January 28, 2010, by and between the same parties. Dated: 4 CITY OF CARMEL REDEVELOPMENT COMMISSION Printed Title Les S. Olds Executive Director Draft PAC Interior Ornamental (Spohn Associates) Up Through November 2009 Total Contract Amounts through application 5 Completed and Stored to date $ 227,259.00 Retention held $ 22,725.90 Paid to date $ 204,533.10 Amount reimbursed to CRC $ 204,533.10 December 2009 Total Contract Amount for application 6 Completed and Stored to date $ 73,585.00 Retention held $ 7,358.50 To be paid $ 66,226.50 Paid by Carmel Theater Development Company $ 66,226.50 January 2010 Paid by Carmel Theater Development Company $ 559,738.80 February 2010 Paid by Carmel Theater Development Company $ 110,212.20 March 2010 Amount to be paid by Carmel Theater Development Company $ 120,136.50 APPLICATION AND CERTIFICATE FOR PAYMENT AIR DOCUMENT G702 /CMa CONSTRUCTION MANAGER - ADVISER EDITION LO PAGE ONE OF PAGES TO OWNER: PROJECT: CITY OF CARMEL, INDIANA REGIONAL PERFORMING ARTS CENTER ONE CIVIC SQUARE CARMEL, INDIANA 46032 FROM CONTRACTOR: SPOHN ASSOCIATES, INC. 7150 WINTON DRIVE, SUITE 100 INDIANAPOLIS, IN 46268 VIA CONSTRUCTION MANAGER: CONTRACT FOR: ORNAMENTAL RAILIN 1A ARCHITECT: APPLICATION NO: 9 PERIOD TO: 3/31/10 PROJECT NO: CONTRACT DATE: 11/17/08 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT CONTRACTOR 1_ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract Continuation Sheet, AIA Document 0703, is attached. 1. ORIGINAL CONTRACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 1 f 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on 0703) 5. RETAMAGE: a. %ofCompleted Work 5 (Column D +EanG703) b. % of Stored Material urn F on G703) Total Relainage (Lines 5a + 5b or Total in Column I of G703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 Icss Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8, CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 2,173,370.00 $ (55.412.00) $ 2,117.958.00 $ 1.166.745.00 105,897.90 Line 3 less Line 6) $ $ 105,897.90 1.060.847.10 $_ 940,710.60 $ 120,136 513 $ 1.057.110.90 CHANZOE ORDER SUMMARY ADD' I-IONS DEDUCTIONS Total changes approved in previous months by Owner 55,412.00 Total approved this Month TOTALS 55.412,00 t NET CHANGES by Change Order (5 5 , 412.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have ban paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: SPOHN ASSOCIATES, INC. By: State or: Indiana Subscribed and sworryfo before me his 22nd, day of March, 2010 Notary Public: My Cornmissior expires: 1/9/2010 Date: 3/22110 County of: Marion CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED $ �s�°[ 7�[ cia (Attach explanation ijamorrn! certified di(Jers ram the amount applied for. Inilial all figures on this Application and on the Conlin Sheet that changed to conform to the amount ceriifie. Cs . STRUCTI i►� : ►. GER: BY: Tallr % 0 /0 By 71401441-- Date: g1ZI1O This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights alit; Owner or Contractor under this Contract. AIA UUt- MEMLrazuCaua•. �• _�•I I • aCUNSTRUCTR U(- AWISEFEEMrtUNUtYJLETRIMiLAIA06154? THE AMERICAN INSTITUTE OF ARCHITECTS. 1745 NEW YORK AVE., IIW. WASHINGTON, DC 20036.5292 I rl In'"1 --1-1.-11-11 It IT .4 SCHEDULE OF VALUES SPOHN ASSOCIATES INC. Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item. Contract 5030 - Interior Ornamental Steel and Railings Application Number 9 Period To: 3/31/2010 Spohn Project No: 28 -1062 A B C D 1 E F G H I Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Com- plete (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period 1 Performance and Payment Bonds $ 13,860 $ 13,860 $ - $ - $ 13,860 100% $ - 2 Engineering - Submittal $ 105,000 $ 105,000 $ - $ - $ 105,000 100% $ - 3 Engineering - File and Field $ 102,944 $ 36,030 $ 15,442 $ - $ 51,472 50% $ 51,472 4 Contract Allowance $ 100,000 $ 59,479 $ 17,413 $ - $ 76,892 74% $ 23,108 5 CAD - as built drawings $ 10,000 $ 5,000 $ - $ - $ 5,000 50% $ 5,000 Temporary Rail Removal $ 6,000 $ - 0% $ 6,000 6 Elevator Cab Cladding $ 90,670 $ - $ - $ - $ - 0% $ 90,670 Steel Stairs Stair #9 7 Material $ 72,565 $ 36,283 $ 36,282 $ - $ 72,565 100% $ - 8 Labor $ 26,816 $ 6,703 $ 1,343 $ - $ 8,046 30% $ 18,770 Stair #10 9 Material $ 72,565 $ 36,283 $ 36,282 $ - $ 72,565 100% $ - 10 Labor $ 26,816 $ 6,704 $ 14,749 $ - $ 21,453 80% $ 5,363 Stair #15 11 Material $ 20,034 $ 20,034 $ - $ - $ 20,034 100% $ - 12 Labor $ 4,283 $ 4,283 $ - $ - $ 4,283 100% $ - Stair #16 13 Material $ 20,034 $ 20,034 $ - $ - $ 20,034 100% $ - 14 Labor $ 4,283 $ 4,283 $ - $ - $ 4,283 100% $ - Stair #29 15 Material $ 19,850 $ 19,850 $ - $ - $ 19,850 100% $ - 16 Labor $ 5,125 $ 5,125 $ - $ - $ 5,125 100% $ - Stair #30 17 Material $ 19,850 $ 19,850 $ - $ - $ 19,850 100% $ - 18 Labor $ 5,125 $ 5,125 $ - $ - $ 5,125 100% $ - Ornamental Railings Low / High Orchestra Lobby 19 Material $ 18,200 $ 13,650 $ - $ - $ 13,650 75% $ 4,550 20 Labor $ 7,800 $ 390 $ - $ - $ 390 5% $ 7,410 Sub - Totals $ 751,820 $ 417,966 $ 121,511 $ - $ 539,477 $ 212,343 CONT. SCHEDULE OF VALUES SPOHN ASSOCIATES INC. Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item: Contract 5030 - Interior Ornamental Steel and Railings Application Number: 9 Period To: 3/31/2010 Spohn Project No: 28 -1062 A B C D E F G H I Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Complet e (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period Orchestra High - Hall 21 Material $ 32,500 $ 22,750 $ - $ - $ 22,750 70% $ 9,750 22 Labor $ 20,800 $ 1,040 $ - $ - $ 1,040 5% $ 19,760 Box Tier - Hall 23 Material $ 78,000 $ 54,600 $ - $ - $ 54,600 70% $ 23,400 24 Labor $ 32,500 $ 1,625 $ - $ - $ 1,625 5% $ 30,875 Balcony Low - Hall 25 Material $ 58,500 $ 40,950 $ - $ - $ 40,950 70% $ 17,550 26 Labor $ 32,500 $ 1,625 $ - $ - $ 1,625 5% $ 30,875 Balcony High - Hall 27 Material $ 78,000 $ 54,600 $ - $ - $ 54,600 70% $ 23,400 28 Labor $ 58,500 $ 2,925 $ - $ - $ 2,925 5% $ 55,575 Railing @ Stairs & Ramps in Hall Ramps & Stairs #11, 12, 13, and 14 29 Material $ 26,000 $ 18,200 $ - $ - $ 18,200 70% $ 7,800 30 Labor $ 16,900 $ - $ - $ - $ - 0% $ 16,900 Railing @ Monumental Stairs Stair #9 31 Steel /Bronze Material $ 160,000 $ 112,000 $ - $ - $ 112,000 70% $ 48,000 32 Steel \Bronze Labor $ 70,000 $ 2,800 $ - $ - $ 2,800 4% $ 67,200 33 Glass Material $ 5,000 $ - $ - $ - $ - 0% $ 5,000 34 Glass Labor $ 2,000 $ - $ - $ - $ - 0% $ 2,000 Stair #10 35 Steel /Bronze Material $ 160,000 $ 112,000 $ - $ - $ 112,000 70% $ 48,000 36 Steel /Bronze Labor $ 70,000 $ 2,800 $ - $ - $ 2,800 4% $ 67,200 37 Glass Material $ 5,000 $ - $ - $ - $ - 0% $ 5,000 38 Glass Labor $ 2,000 $ - $ - $ - $ - 0% $ 2,000 Stair #15 39 Steel /Bronze Material $ 12,500 $ 8,750 $ - $ - $ 8,750 70% $ 3,750 40 Steel /Bronze Labor $ 5,500 $ 165 $ - $ - $ 165 3% $ 5,335 41 Glass Material $ 1,500 $ - $ - $ - $ - 0% $ 1,500 42 Glass Labor $ 500 $ - $ - $ - $ - 0% $ 500 Stair #16 43 . Steel /Bronze Material $ 12,500 $ 8,750 $ - $ - $ 8,750 70% $ 3,750 44 Steel /Bronze Labor $ 5,500 $ 165 , $ - $ - $ 165 3% $ 5,335 45 Glass Material $ 1,500 $ - $ - $ - $ - 0% $ 1,500 46 Glass Labor $ 500 $ - $ - $ - $ - 0% $ 500 Sub - Totals $ 1,700,020 $ 863,711 $ 121,511 $ - $ 985,222 $ 714,798 CONT. SCHEDULE OF VALUES Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item: Contract 5030 - Interior Ornamental Steel and Railings SPOHN ASSOCIATES INC. Application Numbe 9 Period To: 3/31/2010 Spohn Project No: 28 -1062 A B C D I E F G H I Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Comple to (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period Railing @ Monumental Stairs (Con't) Stair #29 47 Steel /Bronze Material $ 12,500 8,750 $ - $ - $ 8,750 70% $ 3,750 48 Steel /Bronze Labor $ 5,500 165 $ - $ - $ 165 3% $ 5,335 49 Glass Material $ 1,500 - $ - $ - $ - 0% $ 1,500 50 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 Stair #30 51 Steel /Bronze Material $ 12,500 8,750 $ - $ - $ 8,750 70% $ 3,750 52 Steel /Bronze Labor $ 5,500 165 $ - $ - $ 165 3% $ 5,335 53 Glass Material $ 1,500 - $ - $ - $ - 0% $ 1,500 54 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 Railing @ Lobby Balconies East Lobby 55 Steel /Bronze Material $ 85,000 59,500 $ - $ - $ 59,500 70% $ 25,500 56 Steel /Bronze Labor $ 40,100 1,203 $ - $ - $ 1,203 3% $ 38,897 57 Glass Material $ 1,400 - $ - $ - $ - 0% $ 1,400 58 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 West Lobby 59 Steel /Bronze Material $ 80,600 56,420 $ - $ - $ 56,420 70% $ 24,180 60 Steel /Bronze Labor $ 38,250 1,147 $ - $ - $ 1,147 3% $ 37,103 61 Glass Material $ 1,000 - $ - $ - $ - 0% $ 1,000 62 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 South Lobby 63 Steel /Bronze Material $ 84,000 58,800 $ - $ - $ 58,800 70% $ 25,200 64 Steel /Bronze Labor $ 34,500 1,035 $ - $ - $ 1,035 3% $ 33,465 65 Glass Material $ 1,000 - $ - $ - $ - 0% $ 1,000 66 Glass Labor $ 500 $ - 0% $ 500 67 Field Survey Stairs $ 16,000 16,000 $ - $ - $ 16,000 100% $ - 68 Field Survey Rails $ 50,000 25,000 $ - $ - $ 25,000 50% $ 25,000 69 Change Order #1 $ (55,412) (55,412) $ - $ (55,412) 100% $ - Totals $ 2,117,958 $ 1,045,234 $ 121,511 $ - $ 1,166,745 55% $ 951,213 $ 105,897.90 AFFIDAVIT AND WAIVER OF LIEN Final X Partial Payment to follow State of Indiana, County of MARION . SS SEAN O. BARNETT being duly sworn states that he is the CHIEF FINANCIAL OFFICER of (Name of Officer) (Title) SPOHN ASSOCIATES, INC. having contracted with CITY OF CARMEL INDIANA to furnish (Subcontractor /Supplier) (Contractor) certain materials and/or labor as follows INTERIOR ORNAMENTAL STEEL AND RAILINGS (Description) for a project known as REGIONAL PERFORMING ARTS CENTER located at CARMEL, IN and owned by CITY OF CARMEL (Owner) and does hereby further state on behalf of the aforementioned subcontract/supplier: (PARTIAL WAIVER) that there is due from the contractor the sum of SIX HUNDRED SIXTY NINE THOUSAND NINE HUNDRED FIFTY ONE ( X ( Dollars ($669,951.00) ) Receipt of which is hereby acknowledged: or ) The payment of which has been promised as the sole consideration of this Affidavit and partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER) that the final balance due from the contractor is the sum of ( ( N/A Dollars ($ ) ) Receipt of which is hereby acknowledged: or ) The payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and released unto the Owner of said premises, any and all lien or claim whatsoever on the above - described property and improvements thereon account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any: and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project and within the scope of this affidavit and waiver. SPOHN ASSOCIATES, INC. By (Firm) (Authorized Re. entative) WITNESS MY HAND AND NOTARIAL SEAL this 24TH day of MARCH 2010 (Notary Pu Title CHIEF FINANCIAL OFFICER My Commission Expires: 1/9/2016 Residing in MORGAN County Printed: SANDRA F. ZOOK AFFIDAVIT AND WAIVER OF LIEN Final X Partial Payment to follow State of Indiana, County of MARION . SS SEAN O. BARNETT being duly sworn states that he is the CHIEF FINANCIAL OFFICER of (Name of Officer) (Title) SPOHN ASSOCIATES, INC. having contracted with CITY OF CARMEL INDIANA to furnish (Subcontractor /Supplier) (Contractor) certain materials and/or labor as follows INTERIOR ORNAMENTAL STEEL AND RAILINGS (Description) for a project known as REGIONAL PERFORMING ARTS CENTER located at CARMEL, IN and owned by CITY OF CARMEL (Owner) and does hereby further state on behalf of the aforementioned subcontract/supplier: (PARTIAL WAIVER) that there is due from the contractor the sum of SIXTY SIX THOUSAND TWO HUNDRED TWENTY SIX DOLLARS AND 50 /100 Dollars ($66,226.50) ( X ( ) Receipt of which is hereby acknowledged: or ) The payment of which has been promised as the sole consideration of this Affidavit and partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER) that the final balance due from the contractor is the sum of ( ( N/A Dollars ($ ) ) Receipt of which is hereby acknowledged: or ) The payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and released unto the Owner of said premises, any and all lien or claim whatsoever on the above - described property and improvements thereon account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any: and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project and within the scope of this affidavit and waiver. SPOHN ASSOCIATES, INC. By (Firm) (Authorized R-.r-.-ntative) Title CHIEF FINANCIAL OFFICER WITNESS MY HAND AND NOTARIAL SEAL this 24TH day of MARCH 2010 My Commission Expires: 1/9/2016 Residing in MORGAN County Li- (Notary P Printed: SANDRA F. ZOOK Payroll #9 Project #28 -1062 Date: • 12117/2069 GEI•NERAL STEEL ERECTORS. INC, Pepe : 2 Time : 9.57:36AM 5230 E. 26TH STREET INDIANAPOLIS IN 46218 - CERTIFIED PAYROLL REGISTER For the pay period ending 12/18/2009 Job : 7514 CARMEL REGIONAL PERFORMING ARTS CENTER JOB EARN TOT EARN TAX EARN HOURS WORKED EACH DAY THIS PAY PERIOD EMPLOYEE MINORITY DEDUCT 12)10 12111 12)12 12113 12114 12115 12118 SOC SEC NUM PAY BET THIS JOB UNIONMICOMP TAXES NET SEX TYP Thu FA Sat Sun Mon Tue Wed TOTAL. RATE RATE ADJUSTMENTS HARRIS J 1 None Stale S 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 26.200 DED 31A4 FIT 103.40 1,048.00 IRONWORKER BFT 764.86 SSMD 80.18 1,048.00 MX-XX -6001 Journeyman BFTNET 0.00 State 35,63 1,048.00 Local 10.48 261.13 Other D.OD 788.87 Totals for Job 7514 - - -- Earrings Taxes Job 1,048.00 FIT 103.40 Gross 1,048.00 SSMD 80.15 Tax Gross 1,045.00 Stale 35.63 Net 786.87 Local 10.48 Hours 40.00 Other 0 -00 rwr:: r :RC ipt Dale: 12123/2009 GENERAL STEEL ERECTORS. INC. TIrne : 5_69:27AM 5230 E. 26TH STREET INDIANAPOLIS IN 46218 - CERTIFIED PAYROLL REGISTER For the pay period ending 12'23/2009 Job : 7514 CARMEL REGIONAL PERFORMING ARTS CENTER Payroll #10 Project #28 -1062 Page : 2 JOB EARN TOT EARN TAX EARN HOURS WORKED EACH OAY THIS PAY PERIOD EMPLOYEE MINORITY DEDUCS 12/17 12118 12119 12/20 12121 12/22 12123 PAY BFT THIS JOB UNIONNYCOHIP TAXES NET SOC SEC NUM SEX TYP Thu FN Sat Sun Mon Tue Wed TOTAL RATE RATE ADJUSTMENTS HARRIS JJ None Male 3 40.00 0.00 0.00 000 0.00 0.00 0.00 40.00 29.200 OED 31.44 FIT 103.40 1,046.00 IRaNWaRK BFT 764.85 SSMD 80.16 1,046.00 X30X- XX-13001 Journeyman BFTNET 0.00 State 35.63 1,041100 Local 10.48 281.13 Other 0.00 786.67 KNOTTDAVID None Male S 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 26 200 DED 31.44 FIT 40.23 1,046.00 IRONWORKER BFT 764.85 SS610 60.16 1,046.00 XXX p4-4987 Journeyman BFTNET 0.00 Slale 36.63 1,048.00 Local 17.28 204.75 Other 0.00 843.25 Tolafs for Job 7514 Earnings Taxes Job 2,096.00 FIT 143.63 Gross 2,096.00 SSIdu 160.34 Tax GROSS 2,096.00 State 71.29 Net 1,630.12 Local 27.77 Hours 80.00 Other 0.00 U.S. Department of Labor PAYROLL Employment Standards Administration (For Contractor's Optional Use; See Instructions, Form WH-347 lost) Wage and Hour Division Rwtanr tuo not too trod to R apond to The is faattotr of info maUun Linta�t21< dk{rays a currerey v Ai OMB mhos/ numbs, . NMI OF °DfaRAS;Tt519 €j CMi MC°NTAACi°FL {� i"' 61io.:121.014P General Steel Fabricating Co Inc 5230 East 26th Street Indpls, IN 46218 aagrriwo oft cor+ranv-r "ci PAYROLL M° 11we+a 12/30/09 raoCrA" °`""0t'' Carmel Arts Center 28 -1062 i31 NAME, ADI BS, AND avcvu amour( raruera pp s •' • a' a) dd Y {a} wtxs �:�i3#��23 G7J183A'7CATIOMf I7I�7'�' (4) DAY �1HO DATE (5) • RS ia} RATE C�i'PAY fir} AMOUNT EARNED i� tP NET WADES P POAWEEI( T ©© �,• ;;a�r .t}"`0;'3�•''!r MUM r : r c 1 MA �rrnr NO< � FAX State Lo a� Union T �'r' DEDUL:T10Na rAi > 4 Work This Week 11111111 11111111 El 1111 1111111111111 1.IIu. . ,- 1111111111M 1 s a OMNI II 111111 ' 1:1 II 11E1 101 11111111111111A Il II is a miummi. mumilis NE . We *Ornate that R nip lake -an average of 55 WTnrrtee to complete this collection of informallon, IncTuding lime for ravlewing kistructlons searching staling data sources, gathering and maintaining the data needed,-and c ompiaUng and revietivtr`g the collection of Information, if you have any comments regarding Marie estimates or arty other Aspect of hilts correction ci inform:Won, incudlrrg suggestions for reducing this burden, send them to the Adm7ntatratar, Wage and Hour Division, EGA, U. S. Department of Labor, Room 83502, 200 GonetituUon Avenue, N. W.. Washington, D. 0.20210. ro+a+wuam.termsrk..1 goo .FororERrstx rM- PLIPCH48Efl1S FORM' OVRECTLY Prow T SUFI. D/'o0C(1 175 U.S. Department of Labor Emplayrnent Standards Administration Wage end How Division PAYROLL (For Contractor's Opdonal Use; Ses Instructions, Form WH-347 Inst.) Patton, MP nor FsQJ d ro > to she ootfactron of Wmn®ticrr albs.It olopfeys r aArwly vat OMB c nrev7 rn+rnber. +1M�E OF DDMTRACT019 r] Orl Btpef ONtnACTDr1 ® General Steel Fabricating Co Inc I , • -:`r 1 th 5230 East 26 Street, Indpls, IN 46218 aw N Z I 1 -0110 03I 1x2003 PAYRDUNO. 12 prtwfEgENDHtti 01/06/10 Rog or Carmel Arts Center PwORcYnaoDr<TRACTr,o- 28 -1062 (1) NAME, ADDT�Eti9, A►ip SOCIAL aEcxfRrTV MASER OF9APLOYEE No Work This Week (21 la) WORK C�AeSgn1;'Knotr DAM NCO O (5) mTAa mums (5) RATE OF 'AY m Or4088 w.+otxn EARNED (5) DiB �p) NET 4YAOE9 PAD EORWEEX �k�j� © © © ®fifi� MA MA u _ ■ .�' zra'i�3TJT.rsoan ■■■ EN 2 ©�O FGA WW1- 1- r+D"ana TAX Stale Local Union TOT .L 4EOlIGi10N& ■ ■ i ■�� HE I Q ■■■■■■■■■■■ ■■ ■■■■■■■■■ Aill ■ ■ ■ ■ ■■■■ ■■ ■III ■■■1 - 1111 a■ 1■ ■■■■■ ■■■■■ ■■■■■ a■■ ■■■■ a■■ ■■■■ ■■■■■ e e r We estimate that h will take an average of bB minutes lo complete time coXectien of informs ion, Including t)me ton reviewing Instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the oollecilon of Information. 11 you have any comments regarding these estimated or any other aspect of this collection of Information, Inotudfng suggeattons for reducing Vila burden, send them to the Administrator, Wage ana Hour OMielon, E8A, U. S. Department of Labor, Room 83502, 200 ConatI1uJQn Avenue, N. W., Washington, D. 0.20210. FCRIA W44. •fNow. MS • FOPONEMY 501 114 • PQMOYASE Thr9 POW DNi&'.'Ti.Y FROM suv7 car °octagENT'8 U.S. Department of Labor Employment Standards A ninistralion Woe and Hour Dlviaion PAYROLL (For Contractor's Optional Use; See Instructions, Form WH -347 inst.) Hof ragr/red(v+ is Nvoalroctvort of firbrnmtron amasskSys s wrrtMay wed OM8 control member. h'"""E OF CONTRACTOR O '� oa ' General Steel Fabricatin• Co Inc "& 5230 East 26' Street Ind.ls IN 46218 ..' :'Oas PAYRQ[.l. '■. 13 -:' ~'��' 'A` ' 41113(10 --- aacrAND Locx • - - o.tecTOR •. • rio. Carmel Arts Center 28 -1062 . ill AND smut sewR�tYwoman Crt6M't.4YEE al l� 1 wows Ca.ASBa'ICATION (4) DA AND DATE „L HOURS HOURS (` (7) aAr a.+ r OF FAY EARNED 14 DEOUCirDlr6 • MET WADES PORWM B© ®© RCA ++ TM State Local Union Tor"L D • • 8 �i 9 i1�';1:'T+r�• 10 11 12 :� ►. 13 1. No Work This Week I■■ ■■■■■�- 1701111111 1 ■ a ■■■■ ■ ■ ■I ■ ■��� ■ IIII ■■■i a■■■■■ �■■■■ ■ ■■ ■11■� v■t■■■ v ■ ■■■ ■■1111 ■� . ■■■ ■ ■ ■ ■■■■■ ' ■■ ■■■■■� NW■ EMI ■■■■■■�! 11 ■■■■ t o■■■■■ ■ ■■■� °■ ■1111■■■ °■■■■■■■rr . II 111111111111111111 ' We estimate that Pt wilt take an average of 88 minutes lo complete Ole collection of Information, Including time for rsvleveing Instructions searchingsadaling data sources, gathering and maintaining the data needed, and completing and reviewing the oeflec tion of Inform/Won. if yorr have any comments regarding these estimates or any other aspect of this collection of lnlorma1Ion, Including suggestion for rrduokrg thfa burden, Bend Chem to the Admi istrator, Wage and dour OMfsion, ESA, U. S. Department of labor, Room &3542, 200 Constitution Avenue, N. W., WashnQicn, O. 0, 20210. ro4U+W14- 347,A..wd Apo. Iwo• FORMERLY actrN^. D( QLASE7? !'SPDRWOfFEECrtYFMO,H7?€EUPTc'DOY TS U.S. Department a4 Labor Employment Standards Adminiatralion Wage acrd Hour Dfv}sron w,m a Ds cONTRACrv; on efreaonr� ncroa PAYROLL (For Contractor's Optional Usa, See instructions:, Form WH -347 Inst.) Parsons rue net ragriradto nugwnd to Uie o0G'QcOon of intommttor] urdest N dsptsis s caurenay vadd OAS contrdrwrnbar. General Steel Fakarieatinn Co Tn . X10" 5230 East 25 ' Street Ind Is TN 46218 • No.: 1x15-0140 •.c 034172003 P" 14 '•°' 01/20/10 ' `' ' L. • Carmel Arts Center 1. - • COHTRACrr,a. 28 -1 062 11} (21 KocRriY ANA 90C1ALtiECURfTYlAA�ID� waa?c Of 4P1.OYEE O SA1GAT10►f II No Work This Week 1.1111" 03030017 IW DA o ©1311318© OATS 18 10 tsi (1 {n ° ror�� n►�re �►aouNr (D) own7crroP:s 64 NET wtaaa auD Fo w EJC w'TM rlcao+Na TJ.X Local Union Tau Oe0t1CTTOW `�{•.Tl:};+j•T;'i irZ]ft:%71r_ HOURS O� PAY l+�Rr+Ep rims nos aim mai 1 iniimaumiummom 1lI.,I� ■1111.1 11lulul�. X1111111 O1111111slt�i II1111111-- • PAIIIIIIIIIIIII IMP: 111111111 - We estimate that It v4I take an average of ae mTnutes to complete thie ooifection of Information, including tfma for reviewing instructions seam:bing eldstfng data sources, gathering and maintaining the data needed, and completing and reviening the 000beoflon o[ infomtatton. if you Nom any comments regarding these estimates or any other aepeot of this eolfec on or information, tnefuding suggestion® for reducing this burden, send there to the Administrator, Wage and Hour Div181on, ESA, Li. S. Department of Labor, Rocrn 8,3502, 2V0 Constitution Avenue, M. W., Wa5ldngton, D. C. E0210. • rQom 5V 14441. koo+a r*o.. +es • rorodr+tr sot n4- Pt1G'G'44&E MIS POHM DAaECTXYMOW TNESV7PJ; OF DOG(b1iEttr$ U.S. Department of Labor mproyrnerrt Standards Administration Wage end Hour Division PAYROLL (For Contractor's Optional Use; Sea Instructions, Form WH -347 Inst.) Ponrone run nd n>gJrod ro respond rP tho OWfa eon of iaal ImatrOn wine R cdsptays 8 purvntfy YafrG OMB cark°, nonber. 1.4AME °FCOHn°IACiof1 0 OR OD"rr``CTOP1 General Steel Fabricating Co Inc �nEes 5230 East 26th Street, Indpls, IN 46218 y Iro aar14 maa P,Y ROLL rif)_ 15 t WM &OM 01127/10 • [GTA/y{}t0^d1T}Ur! Cannel Arts Center mate= ORcoNTRACrNo. 2$ -1062 (I) NAM Ecunrry S. M sppALS cuwrrra,a�Err OP DAPLOY11 (II ¢ 131 worn CLAWSPICATIOH ©11113111131gai si! v ,MT 0) OAY MD-DATE gry#i 01 (sf RATE OF PAY try MOSS AMOUNT EARNS nsouctiON8 tpi NET m TOTAL F1GR Wrt►i HOLONa TAX State Local Union TOrAI. DEDUCTIONS WAGES PAO FQH WEEK .Ttg7. Jul FIOURS No Work This Week a ' " 111111111 1111111 11111 - s 0 III 1111111 1 ° 1111111 i s a 4 111 9 1 s 11l1II1I11111 r 11111/1 • • r f • 0 r We estimate that It will take en average of. 543 minutes to complete this co:faction of Informs iota, ln01uding lima for cal/swing tnstrucgons searohing mdating data sources, gathering and maintaining the data nt did, •and completing end reilewtrig the oolleoton of Information. it you hive any oonrnsnts regarding these a timales or any other aspect of this oollectlon of » orrnatlon, Including suggeettans for reducing trite burden, and tf'R3m to the Admintaire1 r, Wage and Hoor DMSFon, ESA, U. S. Department of Laboi, Nocxn 53502,• 200 CoastRut/on Avenue, N. W.., Washington, D. 0.20210. row+wour,nab s IMF •rOAUUALY so. 1h-Pirrr OSE INS .V it cAREPTLY MOM PE SUPT. OfDOCUMENTS U.S. Department of Labor Empfoymerlt Standards Admfrdstralton Wage and Hour 0fvfaion PAYROLL (For Contractor Optional We; See Instructions, Form WH-347 Inst.) Favors rvn not r mama, r0!capond b duo oodtscdon of info spoon unless it dapiaye a currently veld Cate control MIME OF CONTRACTOR TOR {3R SUBCONTRACT OPI General Steel Fabricating Co Inc Dor�sB tT iti Noz 120-D101 5230 East 26 Street, Indpls, IN 46218 apd roc Kva laws paYRDU rro. 16�1D 42/03/10 ct,wo�ocr�tto+( Carmel Arts Center OR CONTRA NO. 28 -1062. II) RAW, AND SoCV.LasounrTYNUMBER of e]AP ovi E t7t i (9) wow( CLASSIFICATION (+) DAY AND DATE {6} Toro HOURS i+i RATE OF PAY frl o»oras AAaurnr EARNED OF) D'O"dM8 io) NET r FOR WEEK T F S S M T W 28 29 30 : WGrWEC 31 1 tACti 2 gi 3 Wmr- r�or.00ua TAX State Local Union ToTi�+. DEDUCTIONS K • • No Work This Week III ri is 0 s r p 1 1 t 0 • • - s r we estimate That It wilt lek) an average of 56 minutes to oompiele 0* collection of Information, including time for reviewing ihalructfons ssahhing existing data sources, gathering and mafrnainIng the data needed,-and opmpiettng and reviewing the coaedton of information. if you have any comments regarding these seUmatee or any other aspect of 0hts collection of laormation, InoluoIng suggestions for reducing this burden, send Diem lo the Administrator, Wage and Hour Dhrlsfon, ESA, U. S. Department of Labor, Room S3502, 200 Constitution Avenue, N. W., Washington, D. C. 20210. • rpw WI44w7, road Nog. IOW • ra+ uY Col 11i - MAMAS 71115 FORA D E'C7Lrrrrcxr ThE SUPT. or ooct arervrs U.S. Department of Labor Employment Standards Administration Wage and Hour Division PAYROLL (For Contractor's Optional Use; Sea Inatructlons, Forrn WH-347 Inst.) Parson: an: not mCttl d lo to She =foam or tofor ,short urdAya Rays a :wrong IWO CtSIB silo, number, NAME oFOD • '' • oa= r' °''' '• °R ' General Steel Fabricatin: Co Inc " .- 5230 • East 26 Street Indels III 46218 �.- M,;.' "oan�°rBA«; PAYROLL I. 17 = ENDA 02/10/10 RO.A:CTANOLCC'AVION Carmel Arts Center • = OROONTAACTHo. 28 -1062 (1) SOCIAL s A.OUPSIWZA MO R Of v •• s (2) wom C1A6821'IG'STION (4} DA ASOOA iiinuiiwi 5 6 7 pl 10 • �•t?}�•TTJ3•TrYF*r?y' (6) mzAL HO(IRS is} r I OP PAY riRD9a o r s ulT EAANtI? COI moucnorn 04 6rsi wAOlE9 ?A FOR EK WfT1t• a+cn�u� iAX Local Union T DC JC11 11111111 No Work This Week 1.IuuIu. M III 1111 ■111111s1111 11111111 111 • 111.111611111 111111111111.111 1.I,uIII PIE ill $ p ME Aimmino III . I. QIuMIuIu�� gli 1111 II , 11111111111111 Qiui.,Ii r • We estimate that It w®I lake an average of 55 minutes to complete this collection of Information, including time for reviewing instructions aearching existing data aovrcee, gathering and maintaining the data needed, •and compledng and reviewing the collection of Information. if you have err/ comments regarding these estimates or any other aspect of this collection of Information, Including suggestions for reducing Ws burden; send them to the Administrator, Wage and Hour Division, ESA, U. S. Department of Labor. Room 83502, 200 GonsUtutbn Avenue, N. W., Washington, D. C.2O210. rOWd wm442. !Ward Nor, IWO• FORMERLY acG 1914 - PURCHASe 1}I75 PO'WDMCTVY MOM TIE sun. OP DOC1.$WTS Payroll #18 Project #28 -1062 Date : 02)1E12010 GENERAL STEEL ERECTORS, INC. Page : 2 Time : 8:35:29AM 5230 E. 26TH STREET INDIANAPOLIS IN 46218 - CERTIFIED PAYROLL REGISTER For the pay period ending 0211712010 Job : 7514 CARMEL REGIONAL PERFORMING ARTS CENTER EMPLOYEE MINORITY HOURS WORKED EACH DAY SOC SEC NUM 2/11 2512 2113 2/14 2515 2116 2117 PAY SKILL LEY SEX TYP Thtr Fri Sat Sun Mon Tue Wed TOTAL RATE HARRIS J J None Male S 32.00 0.00 0.0(1 0.00 4.00 0.00 0.00 32.00 26.200 roo4-xx -8001 IRONWORKER Journeyman SCHAUB SJ None Male 5 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.0D 26.200 xxx- xx -3935 IRONWORKER Journeyman JOB EARN TOT EARN TAX EARN THIS PAY PERIOD DEDUCE BFT THIS JOB UNIONNPCOMP TAXES NET RATE ADJUSTMENTS OED 25.15 FIT 75.78 838.40 BFT 611.88 SSMD 64.13 83940 BFTNET 0.00 State 28.51 838.40 Local 8.35 201.93 Otter 0.00 638 47 DED 31.44 FIT 86.14 1,048.00 BFT 764.85 SSMD 80.18 1,048.00 BFTNET 0.00 State 35.63 1,046.00 Local 10.48 243.87 Other 0.00 804.13 ZELLERJA None Male 5 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 28.820 DED 34.58 FIT 144.57 1,152.80 root -xx -2024 IRONWORKER BFT 770.73 SSMD 88.171 1,152.80 Journeyman BFTNET 0.00 State 39.20 1,152.80 Local 11.53 318.07 Other 0.00 834.73 Totals for Job 7514 ------ ---- -- Earrings -- ---- -- Taxes Job 3,039.20 FIT 306.-17 Gross 3,039.20 SSMD 232.50 Tax Gross 3,039.20 State 103.34 Net 2,275,33 Local 30.39 Hours 112.00 Other 0.00 PYCer .Rg. rpt Payroll #19 Project #28 -1062 Date : 02)24/20t0 GENERAL STEEL ERECTORS, INC. Page: 2 Time : 1:55:50PM 5230 E. 26TH STREET INDIANAPOLIS IN 46218 - CERTIFIED PAYROLL REGISTER For the pay period ending 02)24/2010 Job : 7514 CARMEL REGIONAL PERFORMING ARTS CENTER EMPLOYEE MINORITY SOC SEC NUM 2)18 2/19 2!20 2121 2122 2123 2124 PAY BFT THIS JOB UNIONmCOMP TAXES NET SKILL LEV SEX TYP Thu Fr1 Sat Aun Mon Tug Wed TOTAL RATE RATE ADJUSTMENTS HARRIS J J Nave IRONWOR 5 37.50 0.00 0.90 0.00 0.00 0.9D 0.00 37.50 26.200 DED 29.47 HT 87.36 982.50 BFT 717.06 SSMD 75.18 882 -50 XXX-1U(-8001 Journeyman BFTNET 0.00 State 33.41 962.50 HOURS WORKED EACH DAY JOB EARN TOT EARN TAX EARN THIS PAY PERIOD DE4UCS SCHAUBSJ None Male 5 40.00 0,00 0,00 0.00 0.00 0.00 0.00 40.00 26.200 IRONWORKER XXX -XX -3935 Journeyman ZELLERJA XXX -XX -2024 None Male 5 40.00 0.00 0.00. 0.00 0,00 0.00 0.00 40.00 28.820 IRONWORKER Journeyman Local 9.53 245.25 Other 0.00 737.25 DEO 31.44 FIT 56.14 1,048.00 BET 764.85 SSMD 80.17 1,04800 BFTNET 0,00 State 35.63 1,046.00 Local 10.48 243 86 Other p -pp 804.14 DED 34.58 FIT 144.57 1.152,80 BFT 770,73 SSMD 88.18 1,152.80 BFTNET 0.00 State 30.2D 1,152.80 Local 11.53 318.07 Other 0.00 834.73 Totals for Job 7514 - - - ---- Earnings - - - ._ _ Taxes ------ Job 3,153.30 FIT 326 -09 Gross 3,163,30 SSMD 243.52 Tax Gross 3,183.30 State 108.24 Net 2,376,12 Local 31.84 Hours 117.50 Other 0.00 PYCeriRg. rp1 Date : 03!0912010 GENERAL STEEL ERECTORS, INC. Time: 12:45:05PM 5230 E. 28TH STREET INDIANAPOLIS IN 46218 - CERTIFIED PAYROLL REGISTER For the pay period from 0212512010 to 03103120.10 Job . 7514 CARMEL REGIONAL PERFORMING ARTS CENTER Payroll #20 Project #28 -1062 Page: 2 JOB EARN TOT EARN TAX EARN TOTAL HOURS WORKED EACH DAY - TOTAL OF ALL PAY PERIODS - EMPLOYEE MINORITY OEDUCS SOC SEC NUM PAY BET THIS J0B UNIONWCOMP TAXES NET SKILL LEV SEX TYP Thu Fri Sat Sun Mon Tile Wed TOTAL RATE RATE ADJUSTMENTS COLEEUGENE None Male S 24.00 0.00 0.00 0.00 0.00 9.00 0.00 24.00 25.820 DED 35.23 FIT 115.83 713.29 XXX -XX -6144 IRONWORKER 0 0.50 0.00 9.00 , 0.00 0.00 0.00 0.00 0.50 43.230 BFT 781.53 SSMD 89.84 1.174.41 Journeyman BFTNET 0.00 State 39.93 1,174.41 LoC81 19,35 300.01 Other 0.00 874.40 COLEEUGEN£ XXX-XX -6144 None Make S 24.00- 0.00 0.00 0.00 0.00 0.00 0,00 24.00- 28.520 IRONWORKER 0 0.50- o_oo 0.00 0.00 0.00 o.00 _0.00 0.50- 43.230 Journeyman COLEEUGENE None XXX -XX -8144 HARRIS J J XXX -XX -8001 Male S 24.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 28.820 IRONWORKER 0 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 43.230 Journeyman None Male S IRONWORKER ° Journeyman 24 00 000 0.00 0.00 0.00 0.00 0.00 24.00 25.200 0.50 0.00 0.00 0.00 0.00 0.00 9.90 0.50 39.300 OED 35.23- FIT 115.53- 713.29 - BFT 781.53 - SSMD 89.64- 1,174.41 - BFTNET 0.00 State 39.93- 1,174.41 - Local 19.38- 300.01 - Other 0.00 874.40- DED 35.23 FIT 115.63 713 29 BFT 781.53 SSMD 89.85 1,174.41 BFTNET 0.00 Stale 39.93 1,174 41 Local 19.38 300.02 Other 0.00 874.39 DED 32.03 FIT 110.15 848.45 BFT 775.54 SSMD 81.68 1,067.65 BFTNET 0.00 State 36.30 1,067.85 local 19.86 770.54 Other 9.00 796.81 PYCr#RgH.rpt Payroll #20 Project #28 -1O62 Date : 03/09/2010 GENERAL STEEL ERECTORS. INC. Page: 3 Time : 12:45:05PM 5230 E. 25T1{ STREET INDIANAPOLIS IN 46218 - CERTIFIED PAYROLL REGISTER For the pay Period from 02/25/2010 to 03103/2010 Job : 7514 CARMEL REGIONAL PERFORMING ARTS CENTER JOB EARN TOT EARN TAX EARN TOTAL HOURS WORKED EACH DAY - TOTAL OF ALL PAY PERIODS ---- EMPLOYEE MINORITY DEDUCS SOC SEC MUM PAY BFT THIS JOB UNIONNYCOMP TAXES HET SKILL LEV SEX TYP Thu Fri Sat Sun Mott Tve Wed TOTAL RATE RATE ADJUSTMENTS 2ELLERJA None Maie 5 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 28.620 DED 34.55 FIT 144.57 1,152.60 XXX.XX.2024 IRONWORKER BFT 770.73 SSMD 88.19 1,152.60 Journeyman BFTNET 0.00 State 39.20 1,15280 Local 11.63 31807 Other 0.00 834 73 ZELLERJA XXX -XX -2024 ZELLERJA XXX -XX -2024 None Male S 40.00- 0.00 0.00 0.00 0.00 0.00 4100 40.00- 28.820 IRONWORKER Journeyman None Male S 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 28.820 IRONWORKER Journeyman Totals for Job 7514 DED 34.58- FIT 144.57- 1,152.80 - BFT 770.73• SSMD 85.19- 1.152.80 - BFTNET 0.00 State 39.20- 1,152.80 - Local 11.53. 318.07 - Other 0.00 834.73- DED • 34.58 FIT 144.57 1,152.80 BFT 770.73 SSMD 58.18 1,152.90 BFTNET 0.00 State 39.20 1,15280 Local 11.53 319.07 Other 0.00 834.73 Earnings - - --- -- Taxes Job 2,514.54 FIT 370.35 Gross 3.394.89 SSMD 259.72 Tax Gross 3,394.86 Stale 115.43 Nel 2,505.93 Local 43.59 Hours 69.00 Other 0.00 PYCrtRgN.rpt Date : 53/10/2010 GENERAL STEEL ERECTORS, INC. Time : 3:23:2PPM 5230 E. 26T1-1 STREET INDIANAPOLIS IN 46218- CERTIFIED PAYROLL. REGISTER For the pay period ending 03/1012010 Job : 7514 CARMEL REGIONAL PERFORMING ARTS CENTER Payroll #21 Project #28 -1062 Page : JOB EARN TOT EARN TAX EARN EMPLOYEE MINORITY HOURS WORKED EACH DAY THIS PAY PERIOD DEDIH 3 SOC SEC NUM 314 315 316 311 318 3t9 3110 PAY BFT THIS JOB UNIONIWCOMP TAXES NET SKILL LEV SEX TYP Thu Fri Sat Sun Mon Tue Wed TOTAL RATE RATE ADJUSTMENTS FISHER DAN None Made S 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 28.200 DED 31.44 FIT 153.47 1,048.00 JXc.xx419e IROMWQRKER BFT 784.85 SSMD 80.17 1,048.00 Journeyman BFTNET 0.00 Slate 35.63 1.048,04 Lcca1 15.72 316.43 Other 0,00 731.57 HARRIS J J XXX -XX -8001 ZELLERJA XXX-XX•2024 None None Mere S 40.00 0.00 4.00 0.00 0.00 0.00 0.00 40.00 26.200 IRONWORKER Journeyman Male S 40.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 28.620 IRONWORKER 0 1.00 0.00 0.00 0.00 0.00 0.00 0.00 4.00 43230 Journeyman DEO 31.44 FIT 107.20 1,046.00 BFT 764.85 SSMD 80.17 1,048.00 BFTNET 0.00 State 35.83 1,045.00 Local 10.48 264.92 0Iher 0.30 763.08 DED 35.88 FIT 155,38 1.196.03 BFT 792.31 SSMD 91.49 1,188.03 BFTr ET 0.00 State 40.87 4,198.03 Local 11.96 335.38 Other 0.00 860.85 Totals for Job 7514 Earnings -- - -- - Taxes Job 3,292.03 FIT 418.05 Gross 3,292.03 SSMD 251.83 Taos Gross 3,292.03 Stale 111.93 Net 2,375.30 Local 38.18 Hours 121.00 Other 0.00 PYCertRg.rpt