Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 12-054-11-29 04-1SS284 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 04-ALA-680-1.9 Federal Project: NONE Progress payment No. 04 Payment period ending: 01-13-12 FANFA, INC. 2401 GRANT AVENUE SAN LORENZO, CA 94580 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 4,215.00 4,215.00 2.a. Extra Work 282,487.27 105,743.35 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 286,702.27 109,958.35 5. Mobilization 6. Total Work Completed 286,702.27 7. Deductions 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 286,702.27 109,958.35 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 109,958.35