HomeMy WebLinkAboutTHYSSENKKRUPP ELEVATOR- 169- 2/11/2011 Thyssenkrupp Elevator Check: 169
2726 E Kemper Road Date: 2/11/2011
Cincinnati, OH 45241 Vendor: THYSSEN1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
2-3 26,184.00 26,184.00 0.00 0.00 26,184.00
App 3 on P7C3 Theater
26,184.00 26,184.00 0.00 0.00 26,184.00
169
2/11/2011 "'"""t"`26,184.00
THE SUM OF TWENTY SIX THOUSAND ONE HUNDRED EIGHTY FOUR DOLLARS AND NO CENTS
Thyssenkrupp Elevator
2726 E Kemper Road
Cincinnati, OH 45241
Thyssenkrupp Elevator Check: 169
2726E Kemper Road Date: 2/11/2011
Cincinnati, OH 45241 Vendor: THYSSEN1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
2-3 26,184.00 26,184.00 0.00 0.00 26,184.00
App 3 on P7C3 Theater
26,184.00 26,184.00 0.00 0.00 26,184.00
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APPLICATION AND CERTIFICATE FOR PAYMENT PAGE 1 OF 2
0944244 PROJECT: VILLAGE ON THE GREEN-THEATER APPLICATION NO: 3
LOCATION: CARMEL,IN APPLICATION DATE: 12/14/10 - -
CARMEL THEATER DEVELOPMENT CORP.,LLC
11711 N.PENNSYLVANIA STREET PERIOD FROM: 9/1/10
" SUITE 200 PERIOD TO: 12/31/10
CARMEL IN 46032
THYSSENKRUPP ELEVATOR CONTRACTOR JOB#: 12012 CONTRACT FOR: ELEVATOR WORK
2726 E.KEMPER ROAD
CINCINNATI,OH 45241 THYSSENKRUPP JOB# 005FAM687 CONTRACT DATE: 03/03/10
CONTRACTORS APPLICATION FOR PAYMENT CERTIFICATION,AFFIDAVIT AND WAIVER OF LIEN
Application is made for Payment,as shown below,in connection with the Contract. I HEREBY CERTIFY THAT THE WORK PERFORMED AND THE MATERIALS SUPPLIED
Continuation Sheet is attached. TO DATE AS SHOWN REPRESENT THE ACTUAL VALUE OF ACCOMPLISHMENT UNDER
THE TERMS OF THE CONTRACT DOCUMENTS AND ALL AUTHORIZED CHANGES,
1.ORIGINAL CONTRACT SUM $ 90,000 RELATING TO THE ABOVE PROJECT.
2.Net change by Change Orders 5 0 ALL LABORERS,MATERIALMEN,AND SUBCONTRACTORS OF THE COMPANY HAVE
BEEN PAID FOR THE WORK,LABOR AND/OR MATERIAL,MACHINERY,
3.CONTRACT SUM TO DATE(line 1 +/-line 2) $ 90,000 EQUIPMENT,AND FUEL FURNISHED BY THEM TO THE COMPANY FOR THE
PROJECT TO THE FULL EXTENT THAT SUMS WERE DUE TO SAID PARTIES AND
4.TOTAL COMPLETED 8 STORED TO DATE $ 54,624_ THE COMPANY HAS PREVIOUSLY RECEIVED PAYMENT FOR THE WORK,LABOR
MATERIAL,MACHINERY,EQUIPMENT,AND FUEL SO FURNISHED BY SAID
5.RETAINAGE: 5 2,731 PARTIES.
6.TOTAL EARNED LESS RETAINAGE $ _ 51,893 FURTHERMORE,IN CONSIDERATION OF THE PAYMENTS RECEIVED,AND UPON
(Line 4 less Line 5 Total) RECEIPT OF THE AMOUNT OF THIS REQUEST,THE UNDERSIGNED DOES HEREBY
WAIVE,RELEASE AND RELINQUISH ALL CLAIM OR RIGHT OF LIEN WHICH THE
7_LESS: CERTIFICATES FOR PAYMENTS S _ 25,709 UNDERSIGNED MAY HAVE UPON THE PREMISES ABOVE DESCRIBED TO THE
(Line 6 from prior Certificate) EXTENT OF ACTUAL PAYMENTS RECEIVED.
8.CURRENT PAYMENT DUE $ 26,184
SUBCONTRACTOR: THYSSENKRUPP ELEVATOR
9.BALANCE TO FINISH,PLUS RETAINAGE 5 38,107 �-�1��p{-� �I,
(Line 3less Line 6) B\
Y: cyz..- ' _ LOur ,--- DATE: 12/14/10
Rosetta Barnes
Construction Coordinator h ), F-�`
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS \)" U
'z:�<�\\!/,/%•c>
Total Changes approved in i ice. i'•.C•�
previous months by Owner 4. t P4 - ST NS
Total approved this Month rirVl
TOTALS 'I * No�arypl,Wm, EVE
NET CHANGES by Change Order Subscribed and sworn to before m i -.: 12/141'MY COrryrrti8It an Expirec.
,r
_ qr. t2 r, ;! .r 3.2011
Lr .,, I
AMOUNT CERTIFIED 5 � / g / Notary Public:
(Attach explanation if amount certified differs from the a unt ,SIP°
applied for).
By. / 2 /t_._ a}.�, DATE: //f&
i
i'HYSSENKRUPP ELEVATOR ' 0929406
REMIT TO: TIiYSSR41:RUPP LLI:iVA'IOR CORPORATION
2726 E.KEMPER ROAD •CINCINNATI,OE 45241
Atiedlian: CASH APPI.ICA]IONS • it
SOLD C/O SIGNATURE CONSTR LLC CUSTOMER NO: 0944244 .710
TO: CARMEL THEATER DEV CORD LLC
720 3RD AVE SW INVOICE DATE: 12/14/2010
CARMEL IN 46032-0000 INVOICE NO: 0929406
JOB NUMBER: 005EAM687
CODES: 18 029 084 00 04
CONTRACT#: RE: VILLAGE ON THE GREEN
SUB—CONTf: CARMEL IN
OUST PO#: HAMILTON COUNTY
CONTRACTOR JOB#: 12012
TO: INVOICE FOR ELEVATORIWORK—MATERIAL SHIPS 12-31=10. ,
CONTRACT PRICE 90,000.00
90,000.00
VALUE OF MATERIAL AND/OR LABOR FURNISHED TO DATE 54,624.00
54,624.00
LESS RETAINAGE 2, 731.00
51,893.00
LESS PREVIOUS BILLINGS 25,709.00
NET AMOUNT DUE AND PAYABLE 26, 184.00
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IF REMITTING DIFFERENT AMOUNT PLEASE GIVE AMOUNT AND REASON, THANK YOU: $
PLEASE CALL: (866) 719-5080 INVOICE: ROSETTA BARNES EXT: 4961
FAX NUMBER: (866) 545-4278 WAIVERS: MIKE TRENT EXT: 4999
INVOICES ARE DUE WHEN RENDERED CREDIT MGR: MIKE TRENT EXT: 4999
Goods or Services covered by this invoice were produced in compliance WI th the requirements of the Fair Labor Standards Act of 193% as amended.
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CBB048-01 CUSTOMER INVOICE I Dlop6