LSJ CONSTRUCTION Subcontractor Payout Project: Master Suite #1004 Trade: Thassos Marble Subcontractor Makedonika Marble, Inc. Insurance ex iration: January O. 1900 Invoice # Phase # Req. #1 09-341 Partial Final X August 3, 2010 Req. #1 Original Contract Sum: $36,650.00 Change Orders Submitted & Approved: $0.00 New Change Orders: $0.00 Total Work Contracted to Date: $36,650.00 Total Work Completed to Date: 100% $36,650.00 Less Retainage: $0.00 Total Payments Made to Date: $0.00 Total Current Payment Due: $36,650.00 Balance to Finish including Retainage: $0.00 Sales Tax Liability: a. Subcontractor/Supplier is liable, explaii install only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: None JEE approval attached YES NO Submitted Bill Signed: Date: August 3, 2010 Approved by: E mad Signed: 7E Date: 0 $36,650.00 Invoice Attached YES NO Approved by: Gary Signed: Date: August 3, 2010 Approved by: Signed: Date: EFTA00606484