Discussion and Consideration of Pay Application #12 – Miron Construction – Tiffin Recreation Center Project – Motion to Approve — K.2

Customer : PHILLIPS' FLOORS INC. 1605 N 9TH ST INDIANOLA, WARREN IA 50125 USA Shipping address : PHILLIPS' FLOORS INC. 1605 N 9TH ST INDIANOLA, WARREN IA 50125 Beth (515) 961-7300 Telephone : (515) 961-7300 <table> <tr> <th>Customer purchase order no</th> <th>Ship Via</th> <th>P.O.B.</th> <th>Terms</th> </tr> <tr> <td>PF-202051-5</td> <td>TQL LOGISTICS</td> <td></td> <td>NET 30</td> </tr> </table> <table> <tr> <th>Item Number</th> <th>Unit</th> <th>Order Quantity</th> <th>Ship Quantity</th> <th>Backorder Quantity</th> <th>Unit price</th> <th>Price UOM</th> <th>Gross amount</th> </tr> <tr> <td>OMNISPORTS COMPACT GREY</td> <td></td> <td></td> <td>Whse: 01</td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Lot: 105501401</td> <td></td> <td>520,000</td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Serials:</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011638</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011638</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011639</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011640</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011655</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011655</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011657</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011658</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011659</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011660</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Lot: 105501402</td> <td></td> <td>208,000</td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Serials:</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011695</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011696</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011701</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>S620011702</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Serial numbers:</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> </table> NOTES <table> <tr> <th>Total gross</th> <td>76687.60</td> </tr> <tr> <th>Total discount</th> <td>0.00</td> </tr> <tr> <th>Total freight</th> <td>0.00</td> </tr> <tr> <th>Misc charges</th> <td>0.00</td> </tr> <tr> <th>Total tax</th> <td>0.00</td> </tr> <tr> <th>Total net amount</th> <td>76687.60</td> </tr> </table> Please make cheque PAYABLE to: Fieldturf USA Inc.