Dept. of Trans. SEMI-FINAL Serial No. Contract No. 10-278-11-27 05-0R9804 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 05-SLO-101-0.0/ .0 Federal Project: 05-MON-101-0.0/ .0 NONE Progress payment No. 06 Payment period ending: 09-03-10 DEBRUIN CONSTRUCTION INC P O BOX 1355 FRENCH CAMP CA 95231 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 180,838.57 -2,867.00 2.a. Extra Work 28,153.70 8,353.70 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 208,992.27 5,486.70 5. Mobilization 10,000.00 0.00 6. Total Work Completed 218,992.27 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 208,992.27 15,486.70 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 15,486.70