LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Water System Subcontractor TSG Technologies, Inc Invoice # Phase # Requisition #02 11-200 Original Contract Sum: Change Orders Submitted & Approved. New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: a. Subcontractor/Supplier is liable. explaii Insurance ex•iration March • 20 Partial X 50% install only r 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 inci Sales or Use Tax: March 30. 2010 Requisition #02 Final S592,160.00 S0.00 50 .00 5592.160.00 S296.080.00 S0.00 547.800.00 5248,280.00 V V. $296,080.00 None JEE approval attached YES NO Submitted Bill Signed: Date. March 31. 2010 Approved by: Ema Signed: Date. $296.080.00 Invoice Attached YES NO Approved by' Signed: Date: March 31. 2010 Approved by: Signed: Date: EFTA00609216