LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Water System Subcontractor TSG Technologies, Inc Invoice # Phase # Requisition #01 11-200 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: February 22, 2010 Requisition #01 Insurance ex iration: March 1. 2010 $592,160.00 $0.00 $0.00 $592,160.00 Total Work Completed to Date: 8% $47,800.00 Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: a. Subcontractor/Supplier is liable, explait install only / tax included in contract 3. Non-resident Subcontractor/Supplier Bond Applicable: Use Tax to be paid by our company: 1. Shipping $0.00 $0.00 $47,800.00 $544,360.00 None Dotal Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: Februa72010 approved by: Email (c4 ) ‘)-V2'31-‘ Signed Date $47.800.00 Approved by Signed Date: February EFTA00609211