Dept. of Trans.             PROGRESS              Serial No.    Contract No.
                                                  21-293-13-13  04-2J8024
                    PROGRESS PAYMENT VOUCHER      %complete:    %time:
                                                     2%            3%

Location:                                         Federal Project:
04-SF-80-3.8/5.0                                  ACIM-801(120)

Progress payment No. 003                     Payment period ending: 10-20-21
F D THOMAS INC
PO BOX 4663
MEDFORD OR 97501

Escrow No. 00000
                                           Total Estimate      This Estimate
 1. Contract Itms Without Mobil.               358,430.82         323,805.82
 2. a. Extra Work
    b. Adustment Comp.
 3. Materials on Hand
 4. Earned Subject to Retention                358,430.82         323,805.82
 5. Mobilization
 6. Total Work Completed        358,430.82
 7. Deductions
 8. a. Contract Retentions
    b. Unsatisfactory Retentions
    c. Reduction after 95% Comp.
 9. Total pay to Contractor                    358,430.82         323,805.82
10. Reduction Amt to Escrow
11. Payment to Escrow                 0.00
12. Net Pymt. this Estimate                                       323,805.82