Dept. of Trans. PROGRESS Serial No. Contract No. 12-349-09-56 01-0C3204 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 12% 33% 01-HUM-200-0.1 Federal Project: NONE Progress payment No. 01 Payment period ending: 12-12-12 G R SUNDBERG, INC. 5211 BOYD ROAD ARCATA, CA 95521 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 3,180.00 3,180.00 2.a. Extra Work 43,435.72 43,435.72 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 46,615.72 46,615.72 5. Mobilization 6. Total Work Completed 46,615.72 7. Deductions -10,000.00 -10,000.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 36,615.72 36,615.72 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 36,615.72