Dept. of Trans. SEMI-FINAL Serial No. Contract No. 09-183-14-22 03-2E7504 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 03-GLE-162-65.5/ .0 Federal Project: NONE Progress payment No. 04 Payment period ending: 06-02-09 DEBRUIN CONSTRUCTION INC P O BOX 1355 FRENCH CAMP CA 95231 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 122,349.75 6,060.50 2.a. Extra Work 15,324.17 462.86 b. Adjustment Comp. 45.25 0.00 3. Materials on Hand 4. Earned Subject to Retention 137,719.17 6,523.36 5. Mobilization 2,500.00 0.00 6. Total Work Completed 140,219.17 7. Deductions -5,000.00 0.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 135,219.17 6,523.36 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 6,523.36