Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 12-311-13-36 04-4H0904 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 04-CC-80-4.0 Federal Project: NONE Progress payment No. 01 Payment period ending: 09-10-12 VALENTINE CORPORATION PO BOX 9337 SAN RAFAEL, CA 94912 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2.a. Extra Work 106,248.99 106,248.99 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 106,248.99 106,248.99 5. Mobilization 6. Total Work Completed 106,248.99 7. Deductions 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 106,248.99 106,248.99 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 106,248.99