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2012 CRC Nash Building pay request 04 vaLLOPMfNJ ?� c0 aPunrraruarP '�.y gPannerihp CRCa City of Carmel Indiana CARMEL REDEVELOPMENT COMMISSION Disbursement Number#4 E-Mail the signed Disbursement Direction to: James Brainard Mayor Huntington National bank Corporate Trust Department (INHP22) Commissioners Attn: Kim Wilson kim.wilson @huntington.com (317) 229-4094 William Hammer Ellen Campbell Ellen.campbell @huntington.com (616) 235-5941 President David Bowers Vice President Re: Depository Agreement between the City of Carmel and Huntington National Bradley Meyer Bank, dated December 31, 2012-Trust#4087000414 Secretary Tom Crowley Commissioner Dear Kim: Jeff Worrell On January 29, 2014, you are hereby authorized and directed, as the Depositary Commissioner under the above referenced Agreement, to pay the amounts set forth on the attached Register of Claims from the above-referenced Trust account and overnight Gregory Phillips checks to: Commissioner Carmel Redevelopment Commission Attention: Mike Lee Les Olds,AIA 30 W Main Street,Suite 220 Executive Director Carmel, IN 46032 City of Carmel, IN J jJ(�"�`tf�1i "�� J• By: Diana L. Cordray, Clerk-Treasurer 30 WEST MAIN STREET, SUITE 220, CARMEL, IN 46032 OFFICE 317.571.ARTS (2787) FAX 317.571.2789 CARMEL REDEVELOPMENT COMMISSION Register of Claims 1/29/2014 Payment Request #4 Amount of Wire Vendor Address Invoice Description Instructions • 720 3rd Ave SW Carmel,IN pay app 4,Nash garage Signature Construction Services 46032 $ 7,107.65 construction mgt IF NEEDED 2932 N.Webster Ave. 1 Gibraltar Construction Corp Indianapolis,IN 46219 $ 223,700.00 Pay app 5,Garage&ramp IF NEEDED 2747 N Emerson Ave Robert Haines Company Indianapolis,IN 46218 $ • 21Fs3 -'s0 Pay app 2,Garage&ramp IF NEEDED ns , ;it C"--; L Y‘:file ' Total: $ 252,-3, 5 / ALLOWANCE OF CLAIMS We have examined the claims listed on the above Register of Claims,consisting of 1 page(s),and except for claims not allowed as _ shown on the register such claims are hereby allowed in the total amount of: $ . 25-2 34U 1 95 )I 31to L0 5 ,74...:jr. 2-10/ Director of the CRC / Date APPLICATION AND CERTIFICATION FOR PAYMENT A/A DOCUMENT G702 PAGE ONE OF 2 PAGES2 TO OWNER CRC at City of Carmel PROJECT: Nash Garage APPLICATION NO:Application u 4 Distribution to: Carmel Indiana 46032 Signature costs }OWNER ARCHITECT PERIOD TO: 1/22/2014 1 X !CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design Signature Construction Services LLC L 720 3rd Avenue SW. PROJECT NOS: Carmel,Indiana 46032 • CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been 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. 1. ORIGINAL CONTRACT SUM S 156,776.00 2. Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line 1±2) $ 156,776.00 ' --: 4. TOTAL COMPLETED&STORED TO S 135,453.05 A Date' l �l 2 1 5. RETAINAGE: Thomas•"'ontz,President a. 10 °A,of Completed Work S 0 Subscribed an`Worn to before me this 7a day of '4 rl- /� flYP (Column D+Eon G703) ,�o}• ��,_ LINDA�,BUCHANAN b. %of Stored Material _ OT,AY °_ Hancock County (Column F on 0703) S�"` N y Commission Ex it Total Retainage(Lines 5a+5b or --'for[;o;." PGs Total inColumnlofG703) 5 0.00 ARCHITECT' CERTIFICATE FOR PAYMEN' t20,2019 6. TOTAL EARNED LESS RETAINAGE $ 135,453.05 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7 LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) S 128,345.40 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE S 7,107.65 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINIS!-[,INCLUDING RETAINAGE S 21,322.95 77(Line 3 less Line 6) AMOUNT CERTIFIED $ ON 7 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation fanrmmt ct tied differs from the amount applied.Initial all figures on this Total changes approved Application and r t (ontinr I- r Sheet that are changed to conform with the amount certified) in previous months by Owner ARCHITE T: Total approved this Month By: �,�r �`— Date: , �.r r TOTALS $0.00 $0.00 This Ce ficate is not n•>otiable. AMOUNT -RTIFIED is payabl only to the contracto ' med h- em.Issuance,:.yment and acceptance of paymen re without NET CHANGES by Change Order 50.00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION•AIA•01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1715 NEW YORK AVE..N W,WASHINGTON,DC 20006-5291 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. SIGNATURE CONSTRUCTION LLC 720 3rd Avenue, S. W. Carmel, Indiana 46032 Application # 4 1/22/14 Nash Garage Carmel, Indiana Revised WORK COMPLETED TOTAL BALANCE TO DESCRIPTION OF SCHEDULED Change SCHEDULED FROM PREVIOUS THIS COMPLETED AND FINISH WORK VALUE Orders VALUE APPLICATIONS PERIOD STORED TO DATE % LESS RETAINAGE RETAINAGE General Conditions 92,161.00 92,161.00 92,161.00 0.00 92,161.00 100% 0.00 0.00 Construction Management Fee 64,615.00 64,615.00 36,184.40 7,107.65 43,292.05 67% 21,322.95 0.00 156,776.00 0.00 156,776.00 128,345.40 7,107.65 135,453.05 86% 21,322.95 0.00 t, , 4 l , , It` Document G732TM m 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER:City of Carmel-Redevelopment Comm PROJECT: Parcel 9-54 Parking Garage&Ramp APPLICATION NO: 5 DISTRIBUTION TO: One Civic Square OWNER _ Carmel,IN 46032 PERIOD TO: 1131/13 CONSTRUCTION MANAGER FROM Gibraltar Construction Corp VIA CONSTRUCTION CONTRACT DATE: 5/2/13 ARCHITECT CONTRACTOR: 2932 N.Webster Ave. MANAGER: PROJECT NOS: / CONTRACTOR Indianapolis,IN 46219 FIELD CONTRACT FOR;Nash Parking Garage VIA ARCHITECT: OTHER The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and CONTRACTOR'S APPLICATION FOR PAYMENT belief the Work covered by this ApO' tion for Payment p ca yment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounIt have been paid by the Contractor for Work for which previous AlA Document G7O3TM,Continuation Sheet,is attached. Certificates for Payment were issued nd payments received from the Owner,and that current payment 1.ORIGINAL CONTRACT SUM $1,476,000.00 shown herein is now due. 4 2,NET CHANGES IN THE WORK S 0.00 CONTRACTOR: GibraA =nstr Ction Corp 3.CONTRACT SUM TO DATE(Line I±2) $1,476,000.00 By: Date: /--.,,,aQ"-/Y 4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $1,143,100.00 State of: �'jt,�yJ,, , '_Ft IV s ; 5.RETAINAGE: County of: je., a f' , BRIAN R. MCBRIDE a. %of Completed Work Subscribed and s v. o before y. Res. of Hancock County day of�h+t My Comm, , 11-29-21 (Column i)+Eon G'03) $ 73,800.00 me this y • b. %of Stored Material Notary Public:_ .. 10..���14 Commission #611862 (Column F on 0703) $ My Commission expires: .- Total Retainage(Lines 5a+5h,or Total in Column Inn G703) $ CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $1,069,300.00 In accordance with the Contract.Documents,based on evaluations of the Work and the data comprising (Line 4 minus Line 5 Thud) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT 845,600.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Elite 6from prior Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT 8.CURRENT PAYMENT DUE $ 223,700.00 CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED S !r 2-, D - (Attach explanation y amount certified differs from the amount applied Initial all figures on this (Line 3 minus Line 6) $ 406,700.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) CONSTRUCTION i ANA R: BY: � Ip-.ra>. Date: X19111,. SUMMARY OF CHANGES IN'THE WORK ADDITIONS DEDUCTIONS ARCHITECT.(N . , . r 1 ime Contractors are responsible fot-performing portions of the Total changes approved in previous months by Owner $ $ Project,the A chtf'ct`s C= f is not required.) Total approved this month;including Construction By: 4Nlinik, Date: ' Change Directives S $ This an is nit negotia°. 'he AMOUNT CERTIFIED is payab e only to he Contractor named TOTALS $ $ herein, - a ,payment and acceptance of payment are without preju ice to any rights of the Owner NET CHANGES IN THE WORK $ or Contractor under this Contract. CAUTION:You should sign an original AEA Contract Document,on which this text appears In RED,An original assures that changes will not be obscured. AlA Document G732T"—2009(formerly G702T"CMa—1992).Copyright©1992 and 2009 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document Is protected by U.S Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAC Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(lot copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,cepynght@aia.org. CONTINUATION SHEET Page 2 of 2 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION N0. : 5 attached. In tabulations below,amounts are staled to the nearest dollar. Use Column I on Contracts APPLICATION DATE: 1/20/2014 where variable retainage for line items may apply. PERIOD TO: 1/31/2014 ARCHITECTS PROJECT NO. A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE TO RETAINAGE ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % (IF VARIABLE DESCRIPTION OF WORK APPLICATION THIS PERIOD ( ) FINISH NO, VALUE STORED D OR E}TIN STORED TO DATE G!C (C_G) RATE) (D+E) 1 Mobilization 25,000 $20,000 $20,000 80% 5,000.00 2,000 2 General Conditions 42,000 $35,500 $3,000.00 $38,500 92% 3,500.00 3,850 3 Engineering and Layout 8,100 $6,900 $1,200.00 $8,100 100% - 810 4 Mass Excavation 135,000 $135,000 $135,000 100% - 13,500 5 Mass Backfill 86,000 $28,000 $28,000 33% 58,000.00 2,800 6 Foundations - Material 52,000 $52,000 $52,000 100% - 5,200 7 Foundations - Labor 42,000 42,000 $42,000 100% - 4,200_ 8 Cast in Place Walls-Material 76,000 69,000 7,000 $76,000 100% - 7,600 9 Cast in Place Walls- Labor 124,000 110,500 13,500 $124,000 100% - 12,400 10 Elevator Pit- Material 2,000 2,000 $2,000 100% - __ 200 11 Elevator Pit- labor 3,000 3,000 $3,000 100% 300 12 Slab on Grade -Material 41,000 16,000 _ $16,000 39% 25,000 1,600 13 Slab on Grade- Labor 31,000 5,500 $5,500 18% 25,500 550 14 Topping Slab-Material 55,000 $0, 0% 55,000 - 15 Topping Slab- Labor 22,000 $0 0% 22,000 - 16 Metal Pan Stairs-Material 2,400 $0 0% 2,400 - 17 _Metal Pan Stairs- Labor 6,500 $0 0% 6,500 - 18 Precast Hollow Core Planks 161,000 161,000 $161,000 100% _ - 16,100 19 Masonry 142,000 52,000 25,000 $77,000 54% 65,000 2,690 20 Structural Steel Material 195,000 195,000 $195,000 100% - 21 Structural Steel Labor 34,000 30,000 4,000 $34,000 100% - 22 Earthwork and Site Utilities 85,000 15,000 5,000 $20,000 24% 65,000 23 Rebar Material 52,000 50,000 2,000_ $52,000 100% - 24 Rebar Install 29,000 27,000 2,000 $29,000 100% - 25 Allowances 25,000 25,000 $25,000 100% - $1,476,000 $919,400 $223,700 $0 $1,143,100 77% $332,900 $73,800 ISA Form #I-402 t 'j .' AFFIDAVIT AND WAIVER OF LIEN H FINAL ® PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and/or labor for a project known as Parcel 9-54 Garage & Ramp and owned by City of Carmel— Redevelopment Commission and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of Two Hundred Twenty Three Thousand Seven Hundred and No/100 Dollars ($223,700.00) I 1 receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the Owner is the sum of Dollars ($ A0) ❑ 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. THERFORE, the undersigned waives and releases 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 of 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 pe rfor-ed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By Title President WITNESS MY HAND AND NOTORIAL SEAL, th;.20th of Jrnuary, 2014. (Notary Public) BRIAN R. MCBRIDE c 1973 040,414A su c:C7NTAACT)fl '�A S ASSOCtr0N INcoRpoRA;TU 2 Res of I'jancc=R Court y veg,,i•o, raa peve1 0:1:gn Pur,..b.ted -Pc * My Comm. Exp. 11-29-2017 Awv •.�i DIPS Commission #611862 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 Page ONE of 2 pages TO(OWNER): Carmel Redevelopment Commission PROJECT: CCC-Parcel 9-54 Garage&Rar APPLICATION NO: 2 Distribution to 30 W. Main Street, Suite 220 =OWNER Carmel, IN 46032 PERIOD TO: January 31,2014 []ARCHITECT FROM VIA(ARCHITECT): ARCHITECTS NO: []CONTRACTOR (Contractor) Robert Haines Company PROJECT NO: 0 2747 N. Emerson Avenue RHC#: 13C275 Q Indianapolis, IN 46218 CONTRACT FOR: CONTRACT DATE: May 23,2013 Application is made for payment, as shown below, in connection with the Contract. CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet,AIA Document G703,is attached. CHANGE ORDER SUMMARY 1.ORIGINAL CONTRACT SUM $210,000 Change orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders previous months by Owner 3.CONTRACT SUM TO DATE(Line 1+-2) $210,000 TOTAL 4.TOTAL COMPLETED&STORED TO DATE $52,350 Approved this Month (Column G on G703) Number Date Approved 5. RETAINAGE: a. 10 %of Completed Work $5,235 (Column D+E on G703) b. %of Stored Material Column F on G703) Total Retainage(Line 5a+5b or Approved this Month TOTALS Total in Column I of G703) $5,235 Net change by Change Orders 6.TOTAL EARNED LESS RETAINAGE $47,115 The undersigned Contractor certifies that to the best of the Contractors knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents,that all amounts have been PAYMENT(Line 6 from prior Certificate) $25,583 paid by the Contractor for Work for which previous Certificates for Payment were 8.CURRENT PAYMENT DUE $21,533 issued and payments received from the Owner,and that current payment shown 9.BALANCE TO FINISH,PLUS RETAINAGE $162,885 herein is now due. (Line 3 less Line 6) CONTRACTOR:Robert Haines Co. State of Indiana County of Marion _ Subscribed and s wndo bef re me this op y Jan 17,2014 Notary Public: 7) By: �,,.,:-... D January 17,2014 My Commissi xpires 9/17/2021 AMOUNT CERTIFIED ' 1 , ARCHITECT'S CERTIFICATE FOR PAYMENT (Attach explanation if a • • -rti _ differs from the amount applied for.) In accordance with the Contract Documents,based on on-site observations and the ARCHITECT: data comprising the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge,information and belief the Work has progressed as 1y: i/AFr; . Date: q indicated,the quality of the Work is in accordanace with the Contract Documents,and This Certificate i•not negot ,:'r. e A!:is CERTIFI a' 'ayable only to the f the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named'erein. Is. ante,payment and acceptance of payment are without /J prejudice to any righ • ,•Owner or Contractor under this Contract. ev1 !18!94 AlA 130275 CCC Parcel 9-54 Garage&Ramp 2 CONTINUATION SHEET AIA DOCUMENT G703 Page2of2pages AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER: 2 Contractor's signed Certification is attached. APPLICATION DATE: Jan 17,2014 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: Jan 31,2014 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM THIS PERIOD PRESENTLY COMPLETED (0/C) TO FINISH PREVIOUS STORED AND STORED (C-G) APPLICATION (NOT IN TO DATE (D+E) D OR E) (D+E+F) 1 Submittals, Bonding&Insurance 7,500 3,000 4,500 7,500 100% 750 2 Firestopping 146,000 10,950 10,950 8% 135,050 1,095 3 071700 Bentonite Waterproofing 56,500 25,425 8,475 33,900 60% 22,600 3,390 210,000 28,425 23,925 52,350 25% 157,650 5,235 Rev11/18194 AIA 13C275 CCC Parcel 9-54 Garage&Ramp 2 SUBCONTRACTOR'S SWORN STATEMENT OF INDEBTNESS & CONDITIONAL WAIVER OF LIEN „I /fift, 7? 1 D CI c--Al Being duly sworn upon his/her oath disposes and says that: 1. He/she is the T g (inserting sole proprietor, partner or corporate office held, as the case maybe), of ROBERT HAINES CO. INC. (hereafter called the"Subcontractor"). He/she is over the age of twenty-one. He/she is authorized to make this affidavit on behalf of Subcontractor. 2. Subcontractor is the aile,P/6 ' bcontractor for the construction of the BUILDING development known as NASH BUILDING, located in CARMEL (City), IN (state), hereafter referred to as the "Development", pursuant to the contract (the "Trade Contract") between the Subcontractor and Signature Construction, LLC, the General Contractor. 3. This affidavit is made for the express purpose of inducing Signature Construction, LLC, to make payment to Subcontract 9r in the amount of $ a /I 3 3.1)0 representing Payment Application # A dated /—►1—I for labor and materials furnished pursuant to said Trade Contract through this date , Upon receipt of said payment the Subcontractor shall be paid in full, exclusive of retainage, for all services, labor and materials furnished to, provided for or used in connection with the Development through the date noted above and hereby waives any lien rights to which Subcontractor is entitled through the above date. Subcontractor further acknowledges that upon receipt of said payment the receipt of$AS/ ----r .•010 to date. 4. Listed below are all suppliers or other persons who either has furnished or might furnish the Subcontractor with materials, appliances, machinery, fixtures or furnishing placed upon or installed on the development. Mark (X) in the appropriate column for EACH supplier listed. Place an (X) in column: 1) If a waiver of lien by supplier conditioned by payment of a specified amount is attached hereto. (In this case also show the amount owed the supplier). 2.) If a FULL (final) lien release has been signed and delivered to the General Contractor. 3.) If the initial delivery has not been made. Supplier List(Add list if necessary) 1. Amount Owed 2 3 N klil-rm2 i r- r-Q o m Pr) , Fvi- #1 and 2 correspond to the same numbered choices on the waiver format. Signature Construction, LLC is hereby authorized to make payment to each such unpaid creditor either directly or by check jointly payable to Subcontractor and such creditor, as Signature Construction, LLC shall determine. 5.There are no bills, charges, costs or expenses for labor or material which could now or hereafter result in lien being filed against the Development or a claim being asserted against the General Contractor except the persons or businesses named in Paragraph 4 above. IN WITNESS WHE E OF, affiant has signed this document on behalf of the Subcontractor this i i'day of 4-A-A10kt2 , 20 )4. Authori -• -ese = e o rt`vr) County of f4 ea) f) N ) State of / Al A ) Subscribed and sworn to before me, a Notary Public in and for said County and Stat ,Itlil /_f day of , 20_12_-1 \\\\ �t y M' HA.R•L� ,, , w NOTARY 2 (Notary Public) _ '-.t t✓e/ , ,keno Ai =* P B�c :z (Printed Name) -9' My Commission Expires: //'/� � Ca),SEAL MUST APPEAR ON THIS FORM. �"IIrri iHo``�\ DICE 7 #U ,:4 . DATE: January 10 2014 Fire Stop Systems, LLC INVOICE# 15648 Veteran Business Enterprise FOR: Nash Building 7301 Georgetown Road,Suite 118 Materials Stored Indianapolis, IN 46268 BILL TO: Robert Haines Company Phone: (317)872-2726 • 2742 North Emerson Avenue Fax:.(317)872-4592 Indianapolis Indiana 46218 • . Jim Pridgen Attn:Account Payable € s L t -.,. ,,'7' fs ..F^, ti g x .-.--m.' "'""1 v c ar h 3 d,'-,A w 0 4.h fikRiN� i 1 ?1 Ed x �c fr P .. M i s t tt RESCRtP71C1 1 ss4Ij1 �P t �r A L`` ' >_ .AMD,6.tm ti i i Material Stored 10,000.00 I I { -1- _,..1 1 ___ i , , i • 1 3 . i L. SUBTOTAL y' T ' , _._w .$10,000.00: i TAX RATE j SALES TAX [ , rt 0 -, , z A ', OTHER �._I' F' ._...._::�$�1O,QO TOTAL Q OQ Jim Pridgen From: Anthony Hamstra <tsfirestop @yahoo.com> Sent: Friday, January 10, 2014 7:56 AM To: Jim Pridgen Subject: Nash Building Invoice Attachments: Nash Building Materials Stored Jim Pridgen.pdf; Attachments_2014110.zip Flag Status: Flagged Categories: Red Category Jim, I have attached photo's of material stored for billing of the Nash. Anthony Hamstra VBE Thermal Supply Fire Stop Systems, LLC 7301 North Georgetown Road Suite 118 Indianapolis,Indiana 46268 Office 317) 872-2726 fax (317) 872-4592 Cell (317) 441-8294 1 Date: 1/23/2014 CM company Page: 1 lime: 10:02:13AM CASH REQUIREMENTS REPORT Invoice Description Invoice Due Invoice Retention Discount Workers' Paid Payment Date Date Comp to Date Vendor: 1677 -GIBRALTAR CONSTRUCTION CORP 5/GAR GIBRALTAR CONSTRUCTI 1/22/2014 2/28/2014 223,700.00 0.00 0.00 0.00 0.00 223,700.00 Vendor Total 223,700.00 0.00 0.00 0.00 0.00 223,700.00 Vendor: 2740-ROBERT HAINES CO. \6 - 2/GAR ROBERT HAINES CO. 1/23/2014 2/28/2014 23,925.00 2,392.50 0.00 0.00 0.00 ■ 21,532. Vendor Total 23,925.00 2,392.50 0.00 0.00 0.00 24,532.50 Vendor: 2808 -SIGNATURE CONSTRUCTION APP 4 SIGNATURE CONSTRUCTI 1/22/2014 2/28/2014 7,107.65 0.00 0.00 0.00 0.00 7,107.65 Vendor Total 7,107.65 0.00 0.00 0.00 0.00 7,107.65 Number of Checks 3 Company Totals 254,732.65 2,392.50 0.00 0.00 0.00 252,340.15 GENERAL LEDGER ACCOUNT TOTALS Account Description Debit Credit CASH 0.00 252,340.15 2010 ACCOUNTS PAYABLE 252,340.15 0.00 Licensed To Signature Construc�:ion Inc APCshReq.rpt