LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal #1010 Trade: Water Piping December 3, 2009 Requisition #1 Subcontractor ISCO Industries Invoice # Phase # Requisition #1 02-713 Insurance ex.iration: Janua 0.1900 Partial Final X 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: $2,250.00 $0.00 $0.00 $2,250.00 100% $2,250.00 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 I $0.00 $2,250.00 $0.00 None JEE approval attached YES NO Submitted Bill Signed: Li t Date: December 3, 2009 Approved by: Emad Signed: Date: 9\\\°1 52,250.00 Invoice Attached YES NO X Approved by: Gary Signed: Date: Approved by: Signed: Date; EFTA00622571