Project: Trade: LSJ CONSTRUCTION Subcontractor Payout Mechanical Building #1002 Plumbing, Fire Protection Subcontractor Abbott & Lineham Mechanical Insurance ex Invoice # Phase # Requisition #04 5-400715-500 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 February 2, 2011 Requisition #04 iration: March 26. 2011 $287,100.00 $0.00 95% 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: JEE approval attached YES NO X Submitted Bill Signed: it Date: February 2, 2011 Approved by: Emad Signed: Date: $0.00 $287,100.00 $272,745.00 $13,637.25 $227,841.82 t/ $31,265.93 OK--- $27,992.25 None $272,745.00 Invoice Attached YES NO X Approved by: Gary Signed: Date: February 2, 2011 Approved by: Signed: Date: EFTA01069444