LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Underground Piping Subcontractor Bluestone Services Invoice # Phase # Requisition #01 02-713 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: August 26, 2010 Requisition #01 Insurance ex iration: January 0, 1900 $0.00 $0.00 $7,000.00 100% $7,000.00 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: $0.00 $0.00 $7,000.00 $0.00 None JEE approval attached YES NO Submitted Bill Signed: Date: August264010 $7,000.00 Invoice Attached YES NO Approved by: Gary t Signed: Date: gust 26, 2010 Approved by: Signed: Date: EFTA00622565