Dept. of Trans. SEMI-FINAL Serial No. Contract No. 12-076-10-31 10-0U9104 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 10-MPA-49-27.0/R34.3 Federal Project: NONE Progress payment No. 04 Payment period ending: 11-02-11 TEICHERT CONSTRUCTION P O BOX 520 FOWLER CA 93625 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 1,093,178.26 21,008.75 2.a. Extra Work 12,388.61 12,388.61 b. Adjustment Comp. -35,621.64 -35,621.64 3. Materials on Hand 4. Earned Subject to Retention 1,069,945.23 -2,224.28 5. Mobilization 6. Total Work Completed 1,069,945.23 7. Deductions 0.00 1,000.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 1,069,945.23 -1,224.28 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate -1,224.28