Dept. of Trans. FINAL Serial No. Contract No. 09-239-13-01 12-0K1904 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 12-ORA-5-10.8/24.8 Federal Project: NONE Progress payment No. 04 Payment period ending: 06-01-09 PAVEMENT COATINGS CO P O BOX 1491 CYPRESS CA 90630 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 71,092.90 0.00 2.a. Extra Work b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 71,092.90 0.00 5. Mobilization 6. Total Work Completed 71,092.90 7. Deductions 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 71,092.90 0.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 0.00