Tho HNTII Companies 15150 Surveyor alveL Telephone (972) :a61"'O064 Engineers Architects Plannef1> Addison ty... 75001 Facsimile (972) 361-0065 \ www.hntb.com 􀁾􀀠, I HNTB JOb # 25768 VIA Arapaho Raad· Ph ...m Datlll Feb,..'!' 23. 2005 To: Stew ChutchianLetter of Town ofAddison c-INTBTransmittal P,O,Box9010 16801 Westgrove Drive Addison, 'IX 75001 Payment Requisition for the Month of January We are forwerdl"'l to , ... 􀁾􀀬􀁟􀀠Eslimates Plans Prints __ Reports Shop Drawings Samples __ Change Order Disk Copy of Letter Book other #: of Copies Drawing # Las! Dated Code Description As requested Copies for distribution Resubmit for RevieW &. comment Copies for review No exception taken Submit Amend and resubmit 2 i 1131/05 Construrtion lnvoice for the Month of Jonuary ! 1 I, 112/0S to '1123105 Arcller Western Contractors, Ltd.'January Certified Payroll 1 i10/OSf04to 12131105 , ATS Drilling Certified Payroll 1 9fSf04fu1l9fQ5 1 S 8< JElectric Certified Payroll 􀀬􀁾􀁾􀀬􀀠Thne er. transmitted: ror approval X For your use Return Corrected prints I Make correctIons noted Plus. note Please return two (2) Signad copies for distribution J1 􀁲􀁬􀀶􀁾􀀠By; /GuyvanBaulen.EIT Capyto: File -----2121 Avenue "J", Suite 103 Arlington, TX 76006 􀁽􀀩􀀩􀁾􀀬􀁾􀀮􀀠Phone: 817/640-3898"FEB 0 3 ZUGS Fax: 817/640-8734Archer Western Contractors HNTB 􀁃􀁏􀁒􀁐􀁏􀁒􀁾􀀻􀁾􀁏􀁎Le fei 􀁾􀁅􀀠,w,.ittal To: HNTB Transmittal: 204059 -'-/§ 5910 W. Plano Parkway, Ste 200 Date: 􀀭􀀽􀀻􀀺􀀺􀀼􀁾􀀱􀁲􀀭􀀺􀀺􀀳􀀻􀀭􀀭􀀷􀀯􀀭􀀻􀀺􀁯􀀺􀀺􀀭􀀭􀀺􀀻􀀵􀀽􀀽􀀭􀀭􀀭􀀭􀀭Plano, Texas 75093 Project: ARRAPAHO ROAD PHASE III From: Andre:tt ?chnee:l'1ann Attn: Guy Van Baulen Deliveried via : /fa. rul We are sending you: 􀁾􀁁􀁴􀁴􀁡􀁣􀁨􀁥􀁤􀀠DUnder Separate Cover ____Submittals Plans _____O&M's _____Photos Specifications __---,-__Invoice V ____Copy of letter ____Shop Drawings 􀀭􀀭􀀭􀀭􀀺􀀩􀁬􀁾􀀬__Other: c..,/i'/i!C! E\)lF'cJ ____Disks C%Vo's _____Other: No. Copies Date Description I,l. rc, Pc";.-p II 10/&1&4. I viiS" I ()Iz z-. 10 !?Jl /Ii2 /t t' ,, i;t.117 • n.lz.l/IZ/;;;';•!, /' I ., , .... f;,yfi,> II q I e::; 􀀯􀀨􀀩􀁾􀁉􀀠·ro , 1"'1 1t'5 II" ! , i '1Ilfl'l t...-t..",,;.F' I () L/-1i"" 1/z.?> /"s v //j()zla!)• 􀁾􀀠, , These are Transmitted as checked below: __--.--;-_For Approval ___Approved 3$ Submitted _____Resubmit Coplns for Approval ___X"-,,,,--For Your Use ___Approved as Noted Resubmit Copies for Orstributlon _____As Requested ___Returned fOr CorrectiOr1S Retum Corrected Prints For Review & Cotr'Ult&r1t Comments: U. S. DEPARiMENT OF LABOR FI3rr.:. A:-PfOVd WAG' ANO HOUR 􀁁􀀢􀀧􀁾􀀠PUSCIC STATEMENT OF COMPLIANCE 􀁂􀁜􀀺􀁣􀀮􀀮􀀬􀁾􀀠􀁂􀁾􀁲􀀺􀁬􀀧􀁊􀀠-:S:" • .(.j.RI09j CONTRACTS D/VISIONS /1, I,; sa McCa ; n Payrol] C10rr dl) heceby state: (N'l.::l(: or $i.,:1.1.!o("', Pl.!,!}') (Title) (l) Thac I payor supen-ise tbe p:J.yment of {be persons emplo,.·ed by A.TS Dr; 1] jng L. f, _. o. JI f LJ § 􀀨􀁃􀁯􀀨􀁬􀁴􀁾􀁡􀁣􀁴􀀠'H 􀁓􀀧􀁊􀁘􀁾􀁮􀁴􀀺􀁬􀀮􀁾􀁯􀀮􀀩􀁟􀀠..I'the nA.,({.J)'I/C. fr-O 􀁾􀀠: that during che p:ly{oll puioo commencing on tht. ...:z... dlj' of 􀁾􀀧􀁩􀀡􀀺􀁬􀀠􀁾􀀠__,I (SuiW!'IIOhwo:ie) , 􀁾􀀠J-. ·1 " .l...£P!f:. and ending the ..I.L-d:J.Y of 􀁏􀁾􀀠..1P£!:/:-dl persons 􀁾􀁭􀁰􀁬􀁯􀀩􀀧􀁥􀁤􀀠on s:J.id P!oj(Ct have bem p:tid the hlH weekly w:;I.ges Hmc. from (he fuH 􀁾􀂷􀁴􀁥􀁫􀁬􀀩􀀧􀀠W:lge1 􀁾􀁲􀁮􀁥􀁤􀀠bi' 1(1)' 'p"erson and that no dtducdom h:tve (Co.at:.l.ctor or fUOCCll.t:1C1:oc) been m:a.de either dlrecdy or indirectly rrom the rull v.':1ge5 e'.lrned by 􀁡􀁮􀁾􀀧􀀠perron, other thln permissible deciu('lions as "aJe rates contained in any wage determination lo('orporaced ilJ,to tpt ,('oncract; that the ;:b'ssia..::uiort:; sec forth thereia foc uch bb?ru or me;:h:r.nic conform with the work h. performed. ",rC llE,f-V'Jestern C -, t (3) That any apprer::ice5 􀁥􀁭􀁰􀁬􀀤􀀢􀁾􀁾􀁦􀁵􀁴􀁨􀂢􀁲􀀻􀁲􀀮􀁐􀁒...􀁾􀁟􀁮􀁬􀁬􀁾􀁧􀀩􀀻􀁁􀁁􀁲􀁾􀁹􀀠cegi3tere d ia a bona lid-: :1ppcemiceship progrlJ!11'egistered Wlth n SC:lce appcenticeship agency .t'e'io,g"fi.t!e8tbYCfhe.JSIIfh) or Appreaticeship wd Tnining, uaited SCltes Dep:r.!'twcut of Labor, or if no such reTAm"", ....􀁾􀀺THE CONT",CrO, O. S:;,CONTUCTO, TO crill 0' CIUM!NAl 􀁐􀁾􀁏􀁓􀁥􀁣􀁬􀁩􀁔􀀡􀁏􀁎􀀮􀀠SS:: s:cnON 􀁉􀁾􀁉􀀠Or TITLE I! ANO SiCilON 111 0; 1fL: 31 OF tHS I;NH20 STAY:..s coos. ,File 6.44 z--Certified Payroll Report 10-19-2004 Page 10 System Date: 10-19-2004 System Time: 11:53 am ATS URIJ,LING PO BOX 130 ROUND ROCK, TX 78680 ror the Period Ending: 􀀱􀀰􀀭􀀱􀀵􀀭􀀰􀁾􀀠Job: 2-0664 DALLAS:ARAPAHO ADDISON TEXAS ROAD PHASE III BILl,Y l' STANFORD 5409 SCOGGINS ST. rORT WORTH1 TX 76114 462-55-8487 Caucasian Male 363 FNDT D OfT M Reg FNDT DOlT M OT S 0 10-09 10-10 10-11 10-12 10-13 10-14 Sat Sun Mon Tuc Wed Thu 8.00 8.00 8.00 8.00 4.50 2.50 4.50 l.00 􀀺􀀡􀁏􀀭􀁾􀀵􀀠􀁾􀁾􀀢􀀱􀀺􀀬􀀾.. _ 􀁾􀁡􀁳􀁨􀀠H:1Y 􀁾􀁲􀁏􀁓􀀤􀀠Fn. Ifp;;;lJ.PS;" 􀂷􀀧􀁒􀀧􀁡􀁾􀁦􀀹􀀮􀁲􀁴􀀹􀀿� �Frlnge 􀁔􀁨􀁾􀁳􀀠Job 8.00 (O.i!>0..15.23 . • ,. "',..􀁾􀀮􀀻􀀩􀀶􀀰􀀹􀀮􀀲􀀰􀀠2:.5015.0022.85' 2.68 L 1. ea Total Gross 951. 88 FWH SWH FICA SUI/SOl 122.45 63.64 Other Deducts 173.85 Net 591.94 FRANK B JOHNSTON 3417 HIAWATHA TRAlL FORT WORTH, TX 76135 460-67-0434 Caucasian Male 363 FNDT D OfT M Rcq FNDT D OfT M OT M -0 NOV 1 I) 2004 􀁁􀁲􀁃􀁉􀁉􀁾􀁟􀁖􀁖10-09 10-10 10-11 10-12 10-13 10-1< 10-15 Tota 􀁣􀁓􀁬􀁥􀁪􀀼􀁴􀀧􀁬􀀧􀁜􀀡􀀮􀀻􀀺􀀨􀀩􀁬􀁪􀁆􀁦􀀧􀁾􀀠" Gross Sat Sun Mon 7ue Wed Thu Fn Hou se»aseA'r'engl'-, 􀀬􀀬􀁾􀀮􀁨􀁾􀁴􀀨􀁊􀀩􀁴􀁲􀀤􀀧􀀠Job 10.0010.0010.0010.00 40.0018.50 a vfflce 740.00 2.50 .50 2.50 1.00 12.00 18.50 27.75 513.38 1,253.38 Total Gross 1,253.38 FWH SWH FICA SUI/SDl 141.78 95.89 other Deducts 238.12 Net 777.59 SANDRO OCTAVIa MOAAl,ES ALVAAAI:M -4 2663 QUXNN STR£ET rT WORTH, TX 76105 645-90-8251 Hispanic Male 172 Common Labor Heg OTCommon Laoor 10-09 10-10 10-11 10-12 10-13 10-14 10-15 Total Sat Sun Mon Tue 10.00 10.00 2.50 .50 Wed 10.00 2.50 Thu 10.00 Fri LOO 12.00 Hours 40.00 16.50 Rate 10.10 15.15 Cash Hrly Fringe f'rinqe Gross This Jop 404.00 280.20 684.26 Total Gross 684.28 FWH SWH FICA SUX/SDI 30.05 52.3, Other Deducts Net 601. 89 JOSE HERNANDEZ 2709 WESTBROOK AVE fT WORTH# TX 76111 638-05-3352 Hispanic 172 Common Labor Common Laoor Male Reg OT S -1 10-09 10-10 10-11 10-12 10-13 10-14 10-15 Total Sat Sun Mon Tue 10.00 10.00 2.50 .50 Wed Thu Fri 10.00 10.00 2.50 1.0012.00 Hours 40.00 18.50 Rate 10.67 16.01 Cash Hr1y Fringe Fringe Gross This Job 426.80 296.09 Total Gross 722.89 triH SWH FICA SUI/SOl 92.16 Other Deducts Net 575.43 722.89 55.30 TODD HAWKINS 9508 SUMMIT DR. 􀁁􀁾􀁔􀀠2412 BENBROOK, TX 76126 450-63-5933 Caucasian Male 363 FNDT D OfT M Reg FHDT 0 OfT M OT s -0 10-09 10-10 10-11 Sat Sun Mon 10-12 10-13 10-14 10-15 Total Tue 10.00 .50 Wed Thu 10.0010.00 2.50 1.00 Fri Hours 10.0040.00 2.00 6.00 Rute 16.07 24.11 Cash Frinqe Hrly 􀁆􀀧􀁲􀁾􀁮􀁧􀁥􀀠Gross This Job 642.80 144.63 787.43 Tota:! Gross 797.43 fWH SWH FICA SUI/SDI 121.25 56.57 Other Deducts 149.43 Net 460.18 Certified payroll Report 10-19-2004 page 11 System Date: 10-19-2004 System Time: 11:53 am Ars DRILLING PO BOX 130 ROUND ROCK, TX 79680 r-For the Period Ending: 10-15-04 Job: 2-0664 DALLAS: ARApAHO ROAD PHASE XII ADDISON TEXAS SHANE STOCKTON S 􀁾􀀠1 103 HILLGARD fORT WORTH, TX 76108 10-09 10-10 10-11 10-12 10-13 10-14 10-15 Total Cash Hr1y GroSs Total FWH SWH Other 634-09-2772 Caucasian Male Sat Sun Mon Tu. Wed Thu fri Hours Rate fringe Fringe 'rhis Job Gross FICA SUI/SDI Deducts Net 172 Common Labor Reg 10.0010.00 10.00 10.00 40.00 9.36 374.40 634.14 71.76 513.86 Common Labor OT 2.50 .50 2.50 1.0012.0016.5014.04 259.74 􀀮􀀮􀀬􀁾􀀮􀀺􀀺􀀭􀀺􀀭􀀧􀀺􀀮􀀠634.14 .8.52 "'''''''.; ...􀁾􀀠.. ..?,'Totals for DALLAS:ARAPAHO ROAD PHASB III 􀁜􀁾􀀠10-09-04 10-10-04 10-11-04 10-12-04 10-13-04 10-14-04 10-1.5-04 TotaNOV 1 t1 £J.JU'T Gross Total Saturday Sunday Monday Tuesday Wednesdy Thursday friday Hours t rtpiS Job GrOss Deductions Net .00 .00 62.50 63.00 75.00 64.00 70.50 335.0W tern ConlWC 05',034.00 5,034.00 FWH 579 ••5 3,520.89 rICA 372.26Arehef-es 1\ rea ofties SWH .00Texas ,.... SDI .00 Other 561. 4 0 tL S. DEPARtMENT OF' 􀁌􀁁􀀹􀀰􀁾􀀠Forr.'l A,provd WAG; AND HOU" AND .uaLIC STATEMENT OF COMPLIANCE 􀁬􀁨􀁵􀁴􀁾􀁾􀀠B-.:tNOl SQ. ·U·!l.f093 CONTRACTS OrVISIONS 3 D:tre FICA and Tax HitJJheJd (2) Thu any payrolls ocherv.'ise under chis COtU!1(t required to be submitted for the llbov: pettod ate correct and completej thlt 􀁴􀁨􀁾􀀠􀀧􀁜􀁬􀁉􀀬􀀧􀁡􀁧􀁾􀀠rares for: 􀁨􀁨􀁯􀁲􀀺􀁥􀁲􀁾􀀠Or mechln1cs contlined tbetein GE BE1>EflTS ARE PAlO TO APPROVED PLk'iS, FUNDS, OR PROGRA....rS o In acidi(ioo co thce b:1sic houdy wage: r::ttl:i paid to' each laborer or rnech3nic iist.>'4 􀁓􀁁􀁎􀁏􀁒􀁯􀀬􀀮􀁯􀁣􀁔􀁁􀁾􀁉􀁾􀀧􀁩􀀧􀁩􀀺􀁲􀀻􀀮􀁌􀁅􀁓􀀠􀁾􀁾� �􀀶􀀶􀀳􀁾􀀮􀁑􀁕􀁉􀁎􀁾􀀠STR 􀀮􀀡􀀭􀀮􀁾􀀠!It 􀁉􀁔􀁊􀁾􀁆􀁜􀁁􀁈􀀯􀀧􀀠TN 05 0!8 􀁾􀁃􀁑􀀠10-23 10-24 10-25 10-26 10-27 􀀶􀀴􀀵􀀧􀀧􀀧􀁾􀁾􀀲􀀵􀀱􀀠􀁈􀁩􀁳􀁰􀁡􀁾􀁾􀀠􀁍􀁾􀁥􀀠Sat Sun Man Tue Wed 172 Common Labo ffJ0rt.eg 8.00 commonLa!l!lXQ)--I' OT 1.00 ;;(5' SHANE STOCKTt S 1 103 HILLGARD FORT WORTH, TX 76108 10-23 10-24 10-25 10-26 10-27 634-09-2772 Caucasian Male Sat Sun Mon Tu. Wed 172 Common Labor Reg 8.00 COfrJnon Labor OT LOO Totals for DALLAS:ARAPAHO ROAD PHASE III 10-23-04 10-24-04 10-25-04 10-26-04 10-27-04 10-28-04 Saturday Sunday Monday Tuesday Wednesdy Thursday .00 .00 27.00 .00 .00 .00 Certified Payroll Report i JrJVthe Period Ending: 10-29-04 10-28 10-29 Total Cash Hrly Gross Thu Fri Hours Rate Fringe fringe This Job 9.0015.23 137.07 137.07 10-28 10-29 Total Cash Rrly Gross Thu Fri Hours Rate Fringe Fringe This Job 8.00 10.10 eO.80 1.0015.15 15.15 95.95 10-28 10-29 Total Cash Hrly Gross Thu Fri Hours Rate Fringe Fringe This Job 8.00 9.36 74.88 1.0014.04 14 .04 88.92 10-29-04 Total Gross Friday Hours This Job .00 21.00 321. 94 11-02-2004 Page 7 System Date: 11-02-2004 System 􀁔􀁩􀁭􀁥􀁾􀀠11;01 am Total Gross 134.86 FWH SWH FICA SUI/SOl 72.32 47.05 Other Deducts 163.00 Net 452.49 Total Gross 494.90 FWH SWH FICA SUI/SOl 10.26 Other Deducts Net 446.78 31.86 Total Gross 451. 62 FWH SWH FICA SUI/SOl 44.38 Other Deducts Net 372.69 34.55 Total Gross Deductions 1,681.38 FWH 126.96 FICA 119.46 SWH .00 SDI .00 Other ].63.00 Net 1,271. 96 U. S. OE:PARTMENT OF LASOR Fom;. A;:IH'O'>'ed. WAG" AND HOUR 􀁁􀁎􀁾􀀠puaLIC STATEMENT OF COMPLIANCE SudJ:: 80.::::,1·.: ;Sl). ,("'·JttC9; CONTRAC'tS DIVISIONS 5 1, 􀁾􀁳􀁡􀀠NcCai n_=_-:;....,.___-,___ ____ __-'P::.ao,y¥-Lr;.c.O.l.l...1J.-;,C,,1f'0"r;;;"<.:-_______ do hereby state: (Nlm.c Ot Si'gl't1roq P;l.lt)·) -(Ti:t!} (1) Th:l.C I payor supenrlse the payment of the perrons employed b>' A.TS Drj 1 1 ; ng L. f, on .1.n I /.l .J (C,""""" 􀀬􀁾􀀬􀁢􀀼􀀻􀀧􀁮􀀢􀀧􀀧􀀧􀀧􀀧􀀩􀀠􀁾􀀠the fff!re:iQ for e:lch labour Or mtch3nic conform with the work he performed. . (3) That an)' appremices employed in the above period are duly registered in a bona 􀀮􀀶􀁤􀁾􀀠:1ppto!o:1ceship program reginered with a St:lce apprenticeshi.p agency 􀁾􀁲􀁥􀁣􀁯􀁧􀁮􀁪􀁺􀁥􀀼􀀺􀁬􀀠by the Bure:lu of Apprenticeship 2nd Tr:1iniag, Ueiced Sute-s Dep:1t'tmenc of labor, or it ao such recogeized agency exiscs in a Sr:lte, 'l;e rc-giscend with me Bure:1u of Apptet\tktsrup and Tuining, United States Departatent of l:1.bor. (4) n", (a) WHERE FRI"GE BE"EfITS ARE PAID TO APPROVED PLA.<-';S, FUNDS, OR PROGRA.'fS o 10 additioCl (0 the b:uk houdy 'Vo'age r:He'S plid to e-lch laborer or mech:loic' listed in the abo ..-e 􀁲􀁤􀁥􀁾􀁡􀁣􀁥􀁤􀀠PiLi'roll, pl,;-'menrs of frluge b.!neUci as listed ,io the concract b:H"e been or will be trJ.:lde to appropri:He pragr:u:ns for the benefit of such 􀁥􀁭􀁰􀁦􀁯􀁹􀁾􀁳􀀺􀀮􀀠 except as noted La Se-ctloo. 4(c:) below. (b) WHERE FRJ:-;GE BENEFITS ARE PAID 1" CASH o Each laborer or mecha.'lic listed io. che abo....e te£ee:enced parroll has been plid 3.$ iedia-ted on the payroll, 1.0 amoW'lC not le1;s tb:tn the .sum of the 􀁡􀁰􀁰􀁬􀁩􀁣􀀻􀀱􀁢􀁬􀁾􀀠basic hourly wage rate plus the amOWlt of the re:quited fringe-. b.:ae6u 􀁾􀀠listed i.a the coot!:lct, e.:tcept as noted in sectio-o. 4(c) below. (e) EXCEPTIONS ,EXCE?rlON (CltAH) E.X1L.ANATIOH I I ". " I , RtMARK.S , -NAM::: ANO TITLE 􀁌􀁾􀁕􀀿􀀧􀀺􀀺􀀧􀀢􀀠 •'/J'LC!-CT.;",,, in 11 Cl prk THE Wrl.FUl 􀁆􀁁􀁴􀀮􀁓􀁉􀁆􀁲􀁃􀁁􀁮􀁾􀁎􀀠0;:: ANY 0:' nfl: A30V'::; 􀁳􀁲􀁁􀁦􀁅􀁍􀀽􀁳􀁲􀁬􀁾􀁙􀀠􀁓􀁕􀀳􀁾􀁩􀀠fHE 􀁃􀁏􀁎􀁔􀁒􀀮􀀮􀁁􀁃􀁔􀁏􀁾􀀠OA 􀀤􀁬􀁬􀀳􀀽􀁏􀁎􀁮􀀮􀁁􀁃􀁔􀁏􀁾􀀠'0 CIVil o. CiUMrNAL 􀁐􀁾􀁏􀀤􀁅􀁃􀁕􀁔􀀡􀁏􀁎􀀮􀀠􀁳􀁾􀀺􀀠S:cnON le-cl OF Tfi'LE U AN') S!CnON 􀀲􀀱􀁾􀀠;:. TlrL; 11 OF fH: 􀁴􀁩􀁎􀁉􀁔􀁾􀀠nAriS COOC. . File 6.44 C'!2rtified Payroll Report 12-J5-2004 Page 5 System Date; 12-15-2004 5 Syst.em Time: 12:07 pm ATS DRILLING 􀁾PO BOX 130 ROUND ROCK, TX 78680 􀀢􀀢􀀬􀀢􀀢􀀬􀁾􀀠􀁾􀁾􀀠--"'<-" 􀁾􀀠',' ! "'-.,:'" For the Period Ending: 12-10-04 Job: 2-0664 DALLAS:ARAPAHO ROAD PHASE III h ADDISON TEXAS . N'j L"10"5,]A" J IJ 8ILLY T STANFORD S -0 5409 SCOGG!NS ST. fORT WORTH, TX 76114 12-04 12-05 12-06 12-07 12-08 12-09 12-10 Total 462-5S-8487 Caucasian Male Sat Sun Mon Tue Wed Thu f'ri Hours Rate 363 FNDT DOlT M OT 9.50 9.50 22.85 JORGE P TOVAR M -2 3312 OALFORO ST fORT NOR'l'H f TX 76111 12-04 12-05 12-06 12-07 12-08 12-09 12-10 Total 237-63-6547 Hispanic Male Sat Sun Mon Tue Wed Thu Fri Hours Rate 172 􀁃􀁯􀁾􀁾􀁯􀁮􀀠Labor Reg 8.00 8.00 12.60 Common Lubor OT 1.60 1.50 18.90 sANDRO OCTAVIa MORALES ALVARArM -4 2663 QUINN STREET f'T WORTH, TX 7610S 12-04 12-0S 12-06 12-07 12-08 12-09 12-10 Total 􀀶􀀴􀁓􀀭􀀹􀀰􀁾􀀸􀀲􀀵􀁬􀀠Hispanic Male Sat Sun Men Tue Wed Thu Fri Hours Rate 172 Common Labor Reg 8.00 S.OO 10.10 COmmOn Labor OT 1.50 1.50 IS.15 Totals for 􀁄􀁁􀁌􀁌􀁁􀁓􀁾􀁁􀁒􀁁􀁐􀁁􀁈􀁏􀀠ROAD PHASE III 􀀱􀀲􀀭􀀰􀀴􀁾􀀰􀀴􀀠12-05-04 12-06-04 12-07-04 12-08-04 12-09-04 12-10-04 Total Saturday Sunday Monday Tuesday Wednesdy Thursday Friday Hours .00 .00 .00 .00 .00 .00 28.50 28.50 Cash f'd nge Archc,r-\","i'q Contlactors Hrly 􀁔􀁉􀁩􀁩􀀻􀀻􀀻􀁾􀀠􀁽􀀢􀁥􀁩􀁩􀁬􀁯􀀨􀁾􀁉􀁔􀁩􀁣􀁥􀁆􀁗􀁈􀀠SI'IH FICA SUI/SDI 149.58 }"ringe This Job 217.03 2:7.03 Gross 1,066.10 72.39 other Deducts 179.57 Net 664.S6 Cash Hrly Fringe f'ringe Gross This Job 100.80 28.35 129.15 Total Gross 882.00 FWH SWH FICA SUI/SOl 77.59 67.47 Other Deducts Net 736.94 Cash Hr1y Fringe f'ringe Gross This Job 80.80 22.73 103.53 Total Gross 707.01 FWH SWH FICA SUI/SDI 33.46 54.09 Other Deducts Net 619.46 Gross This Job 449.71 Total Gross 2,655.11 E'WH FICA SNH SOl Other Deductions 260.63 193.95 .00 .00 17 9.57 Net 2,020.96 U. S. D:::PARTMENT OF" 􀁌􀁁􀀹􀀰􀁾􀀠􀁆􀀮􀀬􀁾􀀠A;:-ilf"vd WAC:. MoO HOUR 􀁁􀀢􀁾􀀠PUSCIC STATEMENT OF COMPLIANCE 􀀵􀀱􀀮􀀡􀁃􀁾􀀡􀀡􀀠􀁂􀀢􀀺􀁾􀀺􀁬􀀻􀁪􀀠K., . .j.j.1tt09} CONTRACTS DIViSIONS 􀁉􀁾􀀠Lisa McCain ___􀁐􀀺􀀺􀀼􀀱􀁬􀁬􀁊􀁶􀀧􀀿􀁉􀁲􀀧􀀨􀁯􀁬􀀮􀀮􀀱􀀱􀀮􀀱􀀮􀀱􀀮􀀮􀀭􀀡􀀬􀁃􀀻􀀧􀀡􀀻􀀡􀁯􀁾􀁲􀁾􀀢􀀧􀀻􀀮􀀮􀀮􀀮􀀮__•____ co 􀁮􀁾􀁲􀁥􀁢􀁹state; 􀁻􀀩􀀻􀀧􀀱􀁾􀀠of $i3:1lt::>r, FIr.:'!) ... 􀀨􀁔􀁩􀀺􀁾􀁩􀀠(1) Th:tt I p:ly Or su?end,e 􀁴􀁨􀁾􀀠p:lyment of the persons emptoj.'ed bi' ATS nr; 11 ; ng 1..... f, on 􀁴􀁊􀀮􀀭􀁾􀀠'" J (Cow,"""Ii""'''''''''') Ii)the ,.-.....pL.; th:l( duting the p::t,'roll pe:dod cotnmendng 00 Ll.U: d:lY 0: 􀁦􀀮􀁾􀀭􀀭􀀭􀁾􀁾f8dt:!c:l o: ..... ill 􀁢􀁾􀀠Cl3.de to 􀀲􀁰􀁰􀀺􀁯􀁰􀁾􀁩􀀳􀀮􀁾􀁥􀀠proguDl$ Eor the 􀁢􀁾􀁥􀀶􀀨􀀠of ,$\Jc.t, 􀁥􀁲􀁯􀁰􀀡􀁯􀀿􀁾􀀺􀁳􀀮􀀠except a5 􀁣􀁏􀁴􀁾􀀠in S-.the 04..rrvo : th:H during (he P3?lOH period. commencing 00 the daY' oE 􀁌􀁦􀀧􀁾􀀠__',_'I (l3!.l!i 􀁴􀁨􀁾􀀠Secrec'l:r of Laboe under the Cop:loc.nt of th!! requited ftiage. b.!o.enu as listed io. the 􀁃􀁏􀁑􀁴􀁮􀁣􀁾􀀠excel" 15 nvted i:1 seccloa 4(c) belo'h', (c) 􀁅􀁘􀁃􀁅􀁬􀀧􀁔􀁉􀁏􀁾􀀵. r EXC2nrO;i (CMHl I :,x?i..AN'AH01f I I .. .. , .. .., 􀀬􀁾􀀠􀁾􀀬􀀠'''... . , , 􀁾􀀮􀀮􀀮􀀬􀀮􀀭􀀮􀀬􀀭􀀮􀀠"2: " -F JAN 'i J. ZUU5.t /.\rc::--:F. 1_. V',. .., u: 􀀧􀀮􀀧􀁾􀀠r1 j'. . "-".,', 􀀨􀁾􀀧􀀠J , .. ·C.";2crors R.EMAP.KS 􀀧􀁶􀂷􀁘􀁕􀁾􀀠;"'.(8& W, !lOe NAM;: AND 􀁔􀀱􀁔􀁌􀁾􀀠File 6.44 7 Cettified Payroll Report 12-28-2004 Page 4 System Date: 12-28-2004 System Time: 8;28 am /l,TS DRILLING PO BOX 130 ROUND ROCK, TX 78680 For the Period Ending: 12-24-04 Job: 2-0664 DALLAS:ARAPAHO ROAD PHASE III ADDISON TEXAS BILLY T STANFORD S -0 5409 SCQGGINS ST. FORT WORTH, TX 76114 12-18 12-19 12-20 12-21 12-22 12-23 12-24 Total Cash Hr1y Gross Total FWH SWH Other 􀀴􀀶􀀲􀀭􀀵􀀵􀁾􀀸􀀴􀁥􀀷􀀠C aucasian Male Sat Sun Mon Tue Wed Thu Fri Hours Rate Fringe E"rinqe This Job Gross FICA SUI/SDX Deducts Net 363 FNDT D O/T M Reg 11.50 13.00 3.00 27.50 15.23 418.83 662.51 62.01 159.39 399.60 418.83 41.51 BRADLEY W MARTIN S -0 404 LATHAM LN RHOME, TX 76078 12-18 12-19 12-20 12-21 12-22 12-23 12-24 Total Cash Hrly Gross Total Fl'/H SWH other 463-41-6644 Caucasian Male Sat Sun Mon Tue Wed Thu f'ri Hours Rate Fringe Fringe This Job Gross FXCA SUI/SOl Deducts Net 363 FNOT D O/T M Reg 11.50 13.00 3.00 27.5016.19 445.23 704.27 92.38 100.lS 458.24 445.23 53.50 RICKY L JACKSON S -0 1809 E. MARS RD rERRIS, TX 75125 12-18 12-19 12-20 12-21 12-22 12-2'3 12-24 Total Cash Hrly Gross Total Fl'/H SWH other 􀀴􀀵􀀲􀁾􀀱􀀵􀀭􀁓􀀲􀀹􀀲􀀠Slack Male Sat Sun Mon Tue Wed Thu Fri Hours Rate Fringe rringe This Job Gross FICA SUI/SDI Deducts Net 172 Common Labor Reg 11.50 13.00 3.00 27.5010.23 281. 33 445.01 52.33 358.64 281. 33 34.04 SANDRO OCTAVIO MORALES ALVARArH 2663 QUINN STREET IT WORTH, TX 76105 12-18 12-19 12-20 12-21 12-22 12-23 12-24 Total Cash Hr1y Gross Total FWH SWH Other 645-90-8251 Hispanic Male Sat Sun Mon Tue Wed Thu Fci Hours Rate Fr1nge Fringe This Job Gross FICA SUI/SOl Deducts Net 172 Common Labor Reg 13.00 3.00 16.00 10.10 16l.60 404.00 1.17 371. 93 161.60 30.90 RUTILIO JIMINEZ M 0 3817 PRUITT DALLAS, TX 75227 12-18 12-19 12-20 12-21 12-22 12-23 12-24 Total Cash Hr1y Gross Total FWH SWH Other 456-99-0062 Hispanic Male Sat Sun Mon Tue Wcd Thu Fri Hours Rate Fringe Fringe This Job Gross FICA SUI/SOl Deducts Net 172 Common Labor Reg 11.5013.00 3.00 27.50 10.50 288.75 288.75 13.49 253.17 288.75 22.09 Totals for DALLA$:ARAPAHO ROAD PHASE III 12-16-04 12-19-04 12-20-0. 12-21-04 12-22-04 12-23-04 12-24-04 Total Gross Total Saturday Sunday Monday Tuesday Wednesdy Thursday Friday Hours This Job Gross Deductions Net .00 .00 '6.00 65.00 15.00 .00 .00 126.00 1,595.74 2,504.54 FWH 221.38 1,841.58 FICA 182.04 S'iI'H .00 SOl .00 Other 259.54 U. S, DEPARTMENT Or LASOR 'Fo= A;:'iH':lVe: WAC!: A!'iO HOUR AN:! F',.H.H..IC STATEMENT OF COMPLIANCE 􀁂􀀢􀀼􀀡􀀤􀁾􀀠􀁂􀂷􀀮􀁴􀁾􀀺􀁬􀀧􀁊􀀺􀀠􀁾􀀢􀀬􀀠.(..(·ltrCg3 CONTRACTS D!VJSJO:-OS 6 I, T·jsa 1:rccain Davroll C1o't"-k coherebY5u.ce: (><2:::<: of 􀁳􀁩􀀤􀀺􀀩􀁊􀀮􀁾􀁃􀀧􀀡􀀠PJ,t:1) .. (Ti:!:) (0 Th:t:.( I p:1j" or 􀁪􀀧􀀮􀀮􀀮􀁬􀀮􀀿􀁾􀀬...'tiill·e plJ'ment of tho:: persons employed 􀁢􀁾􀀢􀀠ATS nri, 1i ng L, f, on A 􀁾I . 􀀨􀁃􀁯􀀢􀁾􀁾􀀢􀀠􀀱􀁬􀁩􀀮􀁲􀀧􀀧􀀧􀀧􀀧􀀧􀀺􀀧􀀧􀁾􀀧􀀧􀀩􀀠l'o.._ the 􀁾􀁾􀁾􀀮􀁾􀀺􀀺􀁣􀀩􀀠: 􀀨􀁨􀁬􀁾􀀠during the p,yroH period commeoclng 00. ell:: 􀁾d.r 􀁯􀁾􀀠􀁾􀁟􀀧􀀬􀁟􀀧􀀠 '2 pC-if u:d ending thoe .:ll Cl;1 of ileL./..J:.££!/:-111 􀁰􀁥􀀺􀀬􀀮􀁳􀀮􀁯􀁮􀁾􀀠employed on aid project h::ls.e be!':': plid' the fuU weekly wa.ges e:lrned, tnat nn rebltU b;tve been or ....·m be mlde 􀁥􀀺􀁾􀁨􀁥􀀺􀀠direcclr or 􀁩􀁴􀁬􀁤􀁾􀁲􀁥􀀬􀁤􀁹􀀠to Or on 􀁾􀁨􀀺􀁤􀁅􀀠of s3td 􀁾􀁾__􀁾􀁟􀀠ATS Dri J 1 j ng /...,;>. from the fut! weekir W:lge-s ¢'3.rned by L":.y 􀁰􀀧􀁾􀀺􀁾􀁮􀀠and tiu: no dtducdotl$ hue 􀀨􀁃􀁯􀁾􀁣􀁾􀁯􀀺􀀠c: 􀁊􀀻􀀺􀁾􀁣􀁯􀁡􀀺􀀺􀀢􀁣􀀺􀀻􀀩􀁴􀀩􀀠beeo m:J.de either 􀁤􀁌􀀺􀁥􀁣􀁤􀁾􀀧􀀠or im:!ir«dy from the fuU .... 􀁬􀁧􀁾􀀤􀀠e:H'ned by an.. per.son\ 􀁯􀁣􀁨􀁾􀀺􀀠􀁴􀀮􀁾􀁬􀀺􀁬􀀠ptrmissibte 􀁤􀁾􀁤􀁴􀀡􀁣􀁴􀁩􀁯􀁮􀀮􀁳􀀠as dton«i in ReguI:idocs, P:Ut 3 (29 CFR 5ubtide A), ilSued by the Sel;rtu,:,y of 1aoor 􀁣􀁮􀁤􀁥􀁾􀀠th¢ Copehnd Act,' as amended (48 Sc:u. 948,635;-:1.£. 108. i2 SC;lt. 967; i6 Sf1r_ 3Hj 40 U. 5. C. 276<:), :l.,d described bdo;S, HiNDS, OR PROGRA..'!S o In addidoa to tho:' bJ.Jic hourly w::Ise r:ut'$ plic to e'l.ch labore: or 􀁦􀀻􀁉􀁾􀁣􀁢􀁮􀁩􀁣􀀠l isted in the ';lbo-'r:! rereteQCN p:lyroll. plyC"lenu of fdoge 􀁢􀁥􀁮􀀰􀁥􀀭􀀵􀁾􀁳􀀠:u 􀁈􀁳􀁴􀁾􀀠ic the coat..1.Ct b3 ...e 􀁢􀁥􀀺􀁾􀀠0: 􀁾􀀺􀁗􀀠be at:lde to approp:i3t.e progu.tDs for the 􀁢􀁾􀁥􀁬􀁨􀀠of such emptoYe"!s, except a$ 􀁣􀁯􀁴􀁾􀀠1n S.:-cuon 4(c) bela...·. (b) WHERE FRI"GE BENEFITS ARE PAID Ie-; CASH o EJ.ch l::lbo:e: or tnednruc list«l in the abov! .::t:::eoced P1f:oll hu bee:. p'3.1c 4j indicated oa 􀁴􀀮􀁾􀀮􀁥􀀠􀁾􀀺􀀱􀁙􀁲􀁯􀁕􀀬􀀠2!l amOUl1t not not It"S5 tb:ul the St!.:1 oE t.'1e lP?!kl:,!:t b:l$k hourly 􀁾􀀢􀀺􀁬􀁧􀀽􀀭u:! plus 6e u)'OWlt of 􀁴􀀮􀁾􀁥􀀠r:qutted fringe, h,d n -1 1 1"1 or'" File 6.44 Certified Payroll Report 01-05-2005 Page 5 ATS DRILLING £3 System Date: 01-05-2005 System Time: 11:40 am PO BOX 130 ROUND ROCK, TX 18680 For the Period Ending: 12-31-04 Job; 2-0664 DALLAS:ARAPAHO ROAD PHASE III ADDISON TE.::}{AS JOHN Po. DAVIS M 0 5729 BONNIE DRIVE WATAUGA, TX 76148 12-25 12-26 12-27 12-28 12-29 12-30 12-31 Total Cash Hrly Gross Total rnH SWH Other 460-08-6695 Caucasian Male Sat SUn Mon Tu. Wed Thu Fri Hours Rate Fringe Fringe This Job Gross FICA SUI/SOI Deducts Net MND Prjc Man-Drl Reg 8.00 8.00 25.92 207.36 1,036.80 104.19 99.96 759.00 207.36 73.65 BILLY T STANFORD S -0 5.09 SCOGGINS ST. FORT WORTH, TX 76114 12-25 12-26 12-27 12-28 12-29 12-30 12-31 Total Cash Hrly Gross Total rnH SWH Other 462-55-8481 Caucasian Male Sat Sun Mon Tu. Wed Thu Fri Hours Rate Fringe Fringe This Job GrOSS FICA SUI/SDI Deducts Net 363 FNDT DOlT M Reg 10.00 10.00 10.00 10.00 40.00 15.23 609.20 1,043.26 142.71 178.42 651.' 9 FNOT DOlT M OT L50 2.00 3.50 2.50 9.50 19.00 22.85 􀀴􀁾􀀴􀀮􀀰􀀶􀀠􀀱􀀬􀁏􀀴􀁾􀀮􀀲􀀶􀀠70.64 BRADLEY WMARTIN S 0 404 LATHAM LN RHOME, TX 76078 12-25 12-26 12-27 12-28 12-29 12-30 􀀱􀀲􀀭􀁾􀀱􀀠Total Cash Hr1y Gross Total fWH SWH Other 463-41-6644 Caucasian Male Sat Sun Men Tue Wed Thu Fri Hours Rate Fringe Fringe This Job Gross FICA SUI/SDI Deducts Net 363 FNDT DOlT M Reg 10.00 10.00 10.50 9.50 40.00 16.19 647.60 999.74 161.11 114.93 647.60 FNDT D 0/'1' M OT 2.00 3.50 2.00 7.50 24.29 182.14 829.74 16.10 RICKY L JACKSON S -0 1809 E. MARS RD FERRIS, TX 75125 12-25 12-26 12-27 12-28 12-29 12-30 12-31 Total Cash Hr1y Gross Total fWH SWH other 452-15-8292 Black Male Sat Sun Mon Tue Wed Thu Fd HOUrs Rate Fringe Fringe This Job Gross FICA SUI/SDI Deducts Net 172 Common Labo r Reg 10.00 10.00 10.00 10.00 40.00 10.23 ,09.20 700.76 100.09 547.06 Common Labor OT 1.50 2.00 3.50 2.50 9.50 19.00 15.35 291. 56 700.76 53.61 SANDRO OCTAVIO MORALES ALVARArH -4 2663 QUINN STREET FT WORTH, TX 76105 12-25 12-26 12-21 12-28 12-29 12-30 12-31 Total Cash Hrly Gross Total EWH SWH Other 645-90-8251 Hispanic Male Sat Sun Mon Tue Wed Thu Fri Hours Rate 􀁆􀁲􀁾􀁮􀁧􀁥􀀠Fringe This Job Gross FICA SUIISDI Ueducts Net 172 Common Labor Reg 10.00 10.00 10.00 10.00 40.00 10.10 40'.00 691. 85 29.7, 609.19 Common Labor OT 1.50 2.00 3.50 2.50 9.50 19.00 15.15 287.85 691.95 52.92 Certified Payroll Report 01-05-2005 Page 6 o ATS DRILLING C) PO BOX 130 ROUND ROCK, TX 78680 for the Period E;nding: 12-31-04 Job: 2-0664 DALLAS:ARAPAHO ROAD PHASE III ADDISON TEXAS RUTILIO JXMINE:Z M -0 3817 PRUITT DALLAS, TX 75227 12-25 12-26 12-27 12-2$ 12-29 12-30 12-31 Total Cash Hrly 456-99-0062 Hispanic Male Sat Sun Mon Tue Wed Thu Fri Hours Rate 􀁾􀁲􀁩􀁮􀁧􀁥􀀠Fringe 172 Common Labor Reg 10.00 10.00 10.00 10.00 40.00 10.50 Common Labor OT 1. 50 2.00 3.50 2.50 9.5019.0015.75 Totals for DALLAS:ARAPAHO ROAD PHASE; 111 12-25-04 12-26-04 12-2;-0' 12-28-04 12-29-0' 12-30-0. 12-31-0' Total Saturday Sunday Monday Tuesday Wednesdy Thursday Friday Hours .00 .00 54.00 60.00 6;.50 62.50 4;.50 291.50 System Date: 01-05-2005 System Time: 11:40 am Gross Total EWH SWH Other This Job Gross FICA SUI/SDX Deducts Net 420.00 719.25 70.'1'1 593.46 299.25 719.25 55.02 Gross Totu1 This Job Grass Deductions Net 4,192.22 5,191.66 FWH 608.61 3,807.80 FICA 381. 94 SWH .00 SDI .00 Other 393.31 U. S. DEPARTMENT OF LABOR Form Approved WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE Budget Bureau No. .f.I·R 109 CONTRACTS D1VISIONS Date: December 14,2004 It Laura J. Stokes Administrative Assistant do hereby state: (Name ofsignatory party) (Title) (I) That I payor supervise the payment of the persons employed by S & J Electric on (Contrnctor Of Subcontractor) the __......;A-'i"rpc.:0" rI-'R;;.;o"'ad"-'-Ph="::.e:..I::.U'-__ That during the payroll period commencing On the 29" day of _......;N-,oveffi:....c=be:.cr__ 20 􀁾and ending the 􀁾day of December ,20 􀁾, all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf ofsaid S & J Electric from the full weekly wages earned by any person and that no deductions have (Contractor or Subcontractor) been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 DFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948,63 Stat. 106,72 Stat. 967, 76 Stat. 357, 40 U. S. C. 276e), and described below: FICA SOCIAL SECURITY "i F'r I,' 􀁾􀀬􀀮MEDICARE , (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic eonfonn with the work he performed. (3) That any apprentices employed in lhe above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of labor, or ifno such recognized agency exists in a State, are registered with the Bureau of Apprcnticeship and Training, United States Department ofLabor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAlD TO APPROVED PLANS, FUNDS, OR PROGRAMS o In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been Or will be made to appropriate programs forthe benefit ofsueh employees, except as noted in section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAlD fN CASH o Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated On the payroll, an Amount not less than the sum ofthe applicable basic hourly wage rate plus the amount oflhe requined fringe Benefits as listed in the contract, except as noted in section 4 (0) below. , (e) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS Ai!]lOrt Road Phase III #150442 CERTIFIED PA nOLL #20 i PROJECT # I i ! NAME AND TITLE Laura J. Stokes I Administrative Assistant THE WlLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE THE CONTRACT OR CRIMINAL PRESECUTION. SEE SECTrON lOOl Of TITLE IS AND SECTION 231 OF TITLE 31 OF THE FORM WiM-4g 􀀨􀁉􀁾􀀩􀀠 S & J Electrical Ser.lJoo P,O, BRT WORTH.TX. 76110 UTILITY LABORER 175 a S •0 0 0 0• •., 12.5 0 0• 0 0 0 , 38 $19.6$ 513.10 S49Un ".00 $497.ao $622.25 $36,76 ".... 59.02 ....36 $&7,89 465-99-9685 DAVlD NEFTAll MEDINA 909 S. OAKLAND BLVD FORT WORTH, TX 15105 CO'JMQN 􀁌􀁁􀁂􀁏􀁒􀁾􀁒􀀠172 0 S 0 0 0 0 , , , 0 12.5 • , 0 0 0 0 'M 51350 $9.00 $la-Un so... $184.so $297,00 50.00 $18.41 $4.31 S22.72 .$.214.28 OO.('1.1Q90 􀁾􀁕􀁁􀁙8. WILe:V S8Z5 CIRCULAR: DRIVE N.RICHLANDHllLS,TX 7&111 UTilITY LABORER 175 0 s 0 0 0 " 0 0 , , , 0 • 0 ,, , " $1125 511.5!l 5111:,50 ".00 5112.SQ .....,. 567.61 -$3:U!7 $7,92 $109.30 $436.95 455-61·0706 TOTAL O\ie.R1IME HOURS M TOTAl OVERTlt.IE WAGE'S $96.75 TOTAl REGULAR HOURS ''"'' TOTAL IIl;illl Socurity '# orEmE!2m W""' ClaulflO3!ion OT " 5T M, Hours WOi'ktid Eech Cay T W r F 5 7 , 9 " " S 1! Total 􀀭􀁾􀀠"'.."P" Reglllar 􀁗􀀡􀁓􀁥􀁾􀀠Oveltfme-.. eoow" 􀁾􀁴􀀤􀀠oro" Amouo! Eemed OEOUCTIONS Talel WlH 55 􀀢􀀢􀀢􀁾􀀠Dedudkms NET WAGES PAID CHRISTOPHER B. CARULE: 􀀶􀀱􀁾􀁅􀀮􀀠MOORE GRANaURY, tx 76&t6 lnlllTY LAaoREFI: 175 0 s •1M • ,• '" • 1.5 0 0 • 0 0 "• " $16.5(1 $11-00 $2:97.00 $61.15 $3114.15 $$41.25 $&7.$$ $33_93 57.94 $109.53 -S431.U 459.n.oo1lJ. FRANCISCO MARTINEZ SR. 35121STANlEV FQRTWORTH,TX.16110 UTILITY lAIlORER 175 0 1.5• , • '.5 • 1 0 •• • • • • • 5 " $19.65 $13.1G $314.40 '9>.25 $412.651$120.50 551.20 $44.67 510,45 $106.32 S61·UlJ. 465-99-96e!' O/IVIO NEF"TAU MEOlNA 909 1." OAKLANO SLVO FORTWORTH, TX 7S1OS COMMON LAeoRER 11> 0 '.5• • • • 0 0 • 0 • •• • 0 0 '.5, $13.50 ".00 $12.00 ,.,,, $7U$ $474.7$ $14.21 529.43 ...'" ,5.." mUl 􀀶􀀴􀁬􀀡􀂷􀀰􀀱􀁾1090 TOTAL OVERTIME HOURS 9 TOTAl. OVERTIME WAGES TOTAL. REGULAR HOUflS -5162.15.. rOTAL. AEGULAR WAGES 􀀤􀀶􀁭􀀮􀁬􀀮􀁾􀁯􀀠TOTAL CONTRACT WAGES 5114/$.'5 U, S, DEPARTMENT OF LABOR FormApprovcd WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE BlulgeJ Buntull No. -;.i-E?, 109 CONTRACTS DlVISIONS Date: January 4,2005 I, Laura J. Stokes Administrative Assistant do hereby state; (Name o[signatory party) (Title) (Il That I payor supervise the payment of the persons employed by S & J Electric on {Contractor or Subcontractor) the _-,A"'::.:'rpo=rtc;R. :;Ga:::d=Ph::.:'=":..I=II,-__ That during the payroU period eommencing on the ".__ 􀁾day of _-,D:ce"ccm=b"er,,-_ 20 􀁾and ending the 􀁾day of Dcccrnber ,20 􀁾, .11 persons employed on said projeet have been paid the full weekly wages earned, that no rebates have been or will be made either direetly or indirectly to or on behalfofsaid S & J Electric from the full weekly wages earned by any person and that no 􀁤􀁥􀁾􀁾􀁱􀁴􀁩􀁯􀁮􀁳􀀠have ".,. (Contractor or SubeonlraclOr} 􀁾􀀢􀁾􀀭􀁾􀀠􀀬􀁾􀀭􀀢􀀭,. . been made either directly or indirectly from the full wages earned by any person, other than 􀁾􀁲􀁭􀁩􀁳􀁳􀁩􀁢􀁬􀁥􀀠deductions as defined in Regulations, Part 3 (29 DFR Subtitle A), issued by the Secretary of Labor underthe Copeland Act, as amended (48 Stat, 948,63 Stat. 106,72 Stat. 967, 76 Stat. 357, 40 U. S, C. 276c), and described below: JAN nr; 􀀲􀀰􀁇􀁾􀀠FICA "lors 􀁾􀀬􀁉􀀠􀀬􀁾􀀮􀁩􀀠"_SOCIAL SECURITY MEDICARE (2) That any payrolls othern"ise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage detennination incorporated into the contract; that the classifications set forth therein for each laborer or mechanie conform with Ihe work he performed, (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program regislered with a State apprenticeship ageney recognized. by the Bureau of Apprenticeship and Training. United States Department of labor, or ifno such recognized agency exists in a State, are registered with the the Bureau of Apprenticeship and Training, United States Department ofLabor. (4) That (al WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basie hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll. payments offringe benefits as listed in the eontract have been or will be made to appropriate programs for the benefit of sueh employees, except as noted in section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH o Each Laborer or mechanie listed in the above referenced payroll has been paid as indicated On the payroll, an Amount not less than the sum oflhe applicable basic hourly wage rate plus the amount of the required fringe Benefits as listed in the contract) except as noted in section 4 (c) below. (e) EXCEPTIONS EXCEPTION (CRAFT EXPLA.'lATION I ! REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS Airport Road Phase III # 150442 CERTIFIED PAYROLL #22 PROJECT # ! NAME AND TITLE J􀁾􀁇􀁎􀁅􀁕􀁒􀁅􀀠x ""'-\ .I. : Laura J, Stokes I Administrative Assistant 􀁾('\, 􀀧􀀭􀀭􀁾􀀠 S & J Electrllml Servlee 1',0. So)t 12-1516, fort Worth, Tout; 1&121 PA'r'Rou.'22 Atr.h6r.\'lIntem CCIllr&;:(Orl 11« Week Endmg: 17119!G4 Projftd add l.oeallon: Arapaho Roaif Phue ill """'" Projecttl Nome, Address, OM SOdI1l Sealluy" af ErtIP'Pyee. W,. 􀁱􀁡􀁩􀁕􀁩􀁲􀁾􀀠aT 0' ST M 1, -HOUrs WQI1t&d EIIQh Oay T W T f • S 14 " " " 18 l2 T,,,, "'''' 'M,,r f!X Rtllu!af WaElo,s Overlittle Wil9&S "'''''''' Wag" G""A_ Eomlld DEOUCTIQNS wn; SS MCoM Total O'U;l!l.lii!CN NETWAGES PAID CHRISTOPHER a. CARULE &13£ MOORe UTIUTY LABORER a s 0 11.5 0 " 0 0 0 ,, 10.5 0 0 0, 0 " 5.16,50 $11.00 5352.00 suo $352.00 $352.00 $38.36 521.82 $5.10 565,30 $281.1.10 GRANBURY, TX 1UC4B 115 459-11-0018 fRANCISCO MARTiNEZ SA. 3512 STANIXY UTlLIT'I LABORER a S 2.5, 1.5, 0 0 0 0 , , 0 0 , " S19.65 $13.10 S209.60 $18.60 Sl6B,20 Sno.50 $-51,2(1 $1461 $10,45 $100,32 $614.t8 FORTWOfHH,TX, 7&110 175 46$-Q9.9665 MICHAEL $.. ROSCRTSON II 5201 SPRINGLAKE PKWV HALTOM CITY, TX 76111 UTlLITY LABORER 175 0 0• 0 0, 0, , 1.' , 0 • , 0 0 '5• $14.25 5.9.50 5.9.50 116.00 S21.36 $91.38 5529,$3 $65.02 ,32.84 57." $105.54 $124.09 450-81·3031 TOTAL OV!.RTIMfi HOIJRS 55 TOTAL OVERnME WAGES S99J18 TOTAL REGULAR HOURS '" TOTAL REGIJLAR WAGES ""'.5O TOTAL CONrRACT WAGE.S $131.5& u. S. DEPARTMENT OF LABOR Form Approved WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE Budget BI/reall No, ·/-I·R IOf} CONTRACTS DlVlSIONS Date: January 4,2005 I, Laura J. StoKes Administrative Assistant do hereby state: (Name Qf signatory party) (Title) (I) That I payor supervise the payment ofthe persons employed by S & 1 Electric on (Contractor or Subwntractor) .he ___ ........e_I_II 201 day of _--'D""Cffi_ber:-;..__􀁁􀁟􀁩􀀭􀀬􀁲􀁰􀁾􀁯􀁟􀁮􀁟􀁒􀁟􀁯􀁟􀁡􀁤􀁟􀁐􀁟􀁨as ___ That during the payroll period commencing on the 1> ............ 20 􀁾􀀰􀀴􀁟􀀠and ending the 􀁾day of DeJ.61·3(l37 unu1V I.ABORER". 0 S 0 11.5 • 0 0 0 " • , • , 0 •, 0 23.5 $14.25 "" $223.25 $0.00 $223.25 $2$1.25 '24,]S '11$,20 $US $44.15 $216.50 TOTAL oVERTIME HOURS o TOTAL OVERTIME WAGES 00.00 TOTAl RE.GUlAR HOURS 70 TOTAL REGULAR W':'G£S $tSO.rli TOTAL CONTRACT WAGES $690,1$ TJ. S. DEPARTMENT OF LABOR Form APluoved WAGEAl-.TI HOUR AND PUBUC STATEMENT OF COMPLIANCE Budger Bureau No. ./J-R WY CONTRACTS DIVISIONS Dale: 1, Laura J, Stokes ___-'A.:,d:::ffi=in:::i5:.:tT;;""ti: Cve:;.c.:A::"::i::sl::an::t'--__ do hereby state: (Name ofsignalOry p,lfty) (l} That I payor supervise the payment of the persons employed by 􀁟􀁾􀁾􀀺􀀺􀁓􀁾􀀦􀁾􀁊􀁾􀁅􀀲􀁉􀁥􀁾􀁥􀁴􀁾􀁲􀀽􀁩􀁥􀁾􀁾􀁾􀁟􀁟� �on (Contractor or SubcontractOr} the Airport Road Phase III That during the payroll period eommencing on the 27111 day of __D::.C",C",Cffi=.bc::.'r__ 20 􀁾and ending the 2M day of January 20 􀁾, all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said S & J Eleetric from the full weekly wages earned by any person and that no deductions have (ConlraCtOr or Subcontractor) been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in in Regulations, Part 3 (29 DFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Slat. 948,63 Stat. 106,72 StaL 967, 76 Stat 357, 40 U, S. C. 276c), and described below;...., jJ' 􀀮􀀢􀀢􀀻􀀧􀀭􀀧􀀮􀁾􀀠􀀢􀁾􀀧􀀱􀀧􀂷􀁟􀀠"'-,<"FICA I SOCIAL SECURITY MEDICARE Archer-\h,!,:-:C'i.· ":1 ":;"'GlerS TeA,I'" /'\J <:;d U Ilic;€ (2) That any payrolls otherwise under this contract required to be submitted for the above period are eorreel and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set fonh therein for each laborer or mechanic conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a Slate apprenticeship agency reeognized ny the Bureau of Apprenticeship and Training, United States Department of labor, or ifno such recognized agency exists in a State, are registered with thc Bureau of Apprenticeship and Training, United States Department ofL.bor, (4) That: (a) WI·IERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments or fringe benefits as listed in thc contract have neen Or will be made to appropriate programs for the benefit ofsuch employees, except as noted in soction 4(c) below. (b) WHERE 􀁆􀁒􀁉􀁾􀁇􀁅􀀠BENEFITS ARE PAID II' CASII D Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an Amount not less than the sum ofthe applicable basic hourly wage rate plus the amount of the required fringe Benefits as listed in the contract, execpt as noied in section 4 (c) below. (c) EXCEPTIONS" I EXCEPTION (CRAF!) EXPLANATION i i REMARKS CONTRACTOR; ARCHER-WESTERN CONTRACTORS Airport Road Phase III #150442 CERTIFIED PAYROLL #24 -No Work Performed PROJECT # I NAME AND TITLE , Laura J. Stokes {Administrative Assistant THE WILFUL FALSlFICATION OF ANY or THIZ ABOVE. STATEME:'>JTS MAY SUBJECT THE CONrRAC OR 0 SUBCONTRACTOR TO CIVIL OR CRIMINAL PRESECUTION SEE SECTION 1001 Of TITLE 18 ANDSECT!ON 231 OFTITI.E 31 OVTH' UNiT D STATES CODE FORM WH-34g (If"} u. s. DEPARTMENT OF LABOR Form Appmwd WAGE AND HOUR A.o'lD PUBLlC STATEMENT OF COMPLIANCE Budgel BU/'eou No. .f-l.J? 109 CONTRACTS DIVISIONS 2005Date: 1, Laura 1. Stokes Administrative Assistant do hereby state: (Name ofsignatory party} (Title) (1) That I payor supervise the payment of the persons employed by S & J Electric on (Contractor or Subcontractor) the ___==:.:R:::o:::a::d. :.P:::has=e:.:11,-1___ That during the payroll period commencing on the 31\1 day of __..:J=afi.::u=ary,,-__ 20 􀁾and ending the 􀁾day of January ,20 􀁾, all perSons employed on said project have been paid the fun weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said S & j Electric from the full weekly wages earned by any person and that no deductions have (Contractor or Subcontractor) been made either directly or indirectly from the full wages earned by any person, other than permissible deduetions as defined in Regulat;ons, Part 3 (29 DFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948, 63 Stat. 106, 72 Stat. 967, 76 Stat. 357,40 U. S. C. 276c), and deseribed below: FICA SOCIAL SECURITY MEDICARE (2) That any payroUs otherwise undcr this contraet required to be submitted for the above period are eOrreet and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates eontained in any wage determination incorporated into the contract; that the classificatJons sct forth therein for eaeh laborer or mecbanie conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency reeognized hy the Bureau of Apprenticeship and Training, United States Department of labor, or ifno such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or meehanie listed in the above referenced payroll, payments offringc benefits as listed in the conlract have been or will be made to appropriate programs for the benefit of such employees, except as noted in section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH o Each Laborer or meehanie listed in the above referenced payroll has been paid as indkated on the payroll, an Amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe Benefits as listed in the contract, exeept as noted in section 4 (c) below. (e) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS Airport Road Phase III #150442 CERTIFIED PAYROLL #25 PROJECT # : NAME AND TITLE Laura J. Stokes I Administrative 􀁁􀁳􀁳􀁩􀁳􀁴􀁾􀁡􀁮􀁾􀁴􀀬􀀽􀀬􀀽􀀠i I FORM WH':Hg {l/6S} S 8. J Electrical 􀁓􀁥􀁴􀀢􀁬􀀧􀁩􀁾􀀱􀀩􀀠P.O. Br)),; 121516, Fort Worth, Ten$ 1'.11:U PAYROll #25 AIdlEl'-W(u:!em COl1lrackes FOt Week Ending: 1/9105 Prujetl lillie to::alioJ\' AlapahD Road Phasa III #1$0442 P'ojee\# Name, Acldl'eu, at',a SOCIal SeGUflIy I ELE!!l!.!0;a:ee OM 􀁃􀁬􀁡􀀵􀀵􀁩􀁦􀁪􀁾􀀡􀁫􀁭􀀠OT " ST ", Hour\' WqOO!d Each Dlly T W T , S• , 7 S S 9 Tolal Hours Ratll! ,r p" Regular 􀀧􀁎􀀮􀁾􀀹􀀡􀀤􀀠Glon Overtime Ccnlql.ut Amount 􀁗􀀼􀀡􀁧􀀺􀁥􀀮􀁾􀁟􀁍􀁾􀀧􀀭􀀧􀀭􀁟􀀠E4",,' OEDUCTIONS Total WIH 88 MCam Oeduc\iOl'l$ NET WAGES PAID CHRISTOPHER B. CARLILE 613 E.MOORE UTILITY LAOORER 0 8 0 1.' 0 0 0 0 0 0 0 0 0 0 0 S16.50.., snoo 5104.50 50.00 $104.50 $335.50 ,,,.. $20.80 $4.86 .$61.56 S2n.!14 GRANOURY, TX 16(148 175 4$9,dft:!;cJW9iG0!!ip.INfi,Cictors that the wage rates for laborers or mechanics contained therein are not less than the applicable wage 􀁲􀁡􀁬􀁊􀁬􀂥􀁬􀀾􀁾􀀢􀀢􀀬􀀼􀁪􀀮􀁩􀀹􀁾􀁩􀀢􀁉􀁜􀀡􀀡􀁉􀀧􀀠determination incorporated into the 􀁣􀁯􀁮􀁴􀁲􀁡􀁥􀁴􀁾􀀠that the elassifications set forth therein for each laborer or'mecnalliccbh'-f'dnrr'Mtlte the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of labor, or ifno such recognized agency exists in a State, are registered with the Bureau ofApprenticeship and Training. United Slates Department of Labor. (4) That: (.) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS o In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will bc made to appropriate programs forthe benefit of such employees, except as noted in section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAlD IN CASH D Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an Amount not less than the sum of the applicable basic hourly wage rate plus the amount ofthe requircd fringe Benefits as listed in the contract, except as noted in section 4 (c) below. (c) EXCEPTIONS EXCEPTION CRAFD EXPLANATION ! REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS Airport Road Phase 1lI #150442 CERTIFIED PAYROLL # 16 PROJECT # NAME AND TITLE ISI3,aa S391.S5 SS1S.13 $1l0.13 $36..14 "'''' $121.19 $467,94 451).81-3031 QUAYS, Wit.EV 5825 CIRCULAR ORIVE N. RICHLANO HilLS, 7X 75111 IJTrUiY LABORER 175 0 S • • •• • 0 0 0 0 • 0 0 0 0 •4 $11.2:5 $1t.50 $46.00 $138.00 S,e4.00 $$1!UI3 $129,75 $00.45 SlUm S192.tlO $621.63 455-&1·0705 TOTAL OVERTIME HOURS "TOTAL OVERTIME WAGES $1,3781;) TOTAL REGULAR HO'JRS 160 TOTAL ru;GUl.AR WAGES SU7U.00 TOTAL CONlRACT WAGES 􀁓􀀳􀀮􀀲􀀵􀁾􀁕􀀳􀀠 U. S. DEPARTMENT OF LABOR Fqrm Appr Oedw;:tlens PAID JOHN DAVIO BOX, JR 5300 F..M. 51 #J WEATHERFORO.Tlt 1S086 COMMON LABORER 112 Q S 0 13 0 11 , • , 0 , .., 0 0 0, "'., $12.00 58.00 $260.00 50.00 "".. 5260.00 SO." 516.12 S3.17 S1&.89 ".." 465-37-4114 -CHRISTOPHER S. CARLILE !i11lITY 0 0 0 0 7 " 0 0 17 S16.5lJ 613 E. MOORE GRANBURY, TX 16048 LABORER '75 S 14,5 " 10 2.' 0 0 0 40 $11.00 ... $28050 5nO,50 5720,50 $10U1 $44.61 $'0,'15 $16U,lI $558.91 45&-17-80711 JUAN F. ESTRADA 3434 AVENUe I FORT WORTH. TX 16100 COMMON lABORER '" 0 S , 13 0 11,5 0 ,., .,.. '.' 0 0 0 0 0 12 4' $13,50..... $36000 $162.00 $522.00 SSZ7.00 $111.93 $32,36 $7.51 558.86 S463.14 6S·j.!fI)-9876 FRANCISCO MARTINI;.Z SSt 3512 STANLEY FORT WORTH,;X, 76110 uraITY LABORER 115 0 0• 13 0 11.5 0 10 , .,,.. 0 0 0 0 0 12,5 40 5HUi5 $13,10 $524.00 $245,63$769.63 $769,62 SSBA2 141.72 S11.16 1111,30 􀀭􀁾􀀬􀀠46s..99-96&S OAViONEFTAUMEOiNA !l09S. OAKLAND BLVO COMMOM LABORER 0 S 0 0 4.' , 0 0 0 0, 9.5 0 0 0 0 0 23 $1350 $S." $:m1.00 so... $2:07.00 $207.00 ..... $12.83 ".00 􀀤􀀱􀀵􀀮􀁾􀀠$191.17 FORT WORTH, TX 76105 172 642..(l1·1090 TOTAL OVERTIME-HOURS 4U ToTAL OVERTIME WAGES $6611.1l TOTAL REGULAR HOURS 176.5 TOTAL R.EGULAR WAGES $1,191.00 TOTAL CONTRACT WAGES $2,479,13 U. S. DEPARTMENT OF LABOR F()rm Approvoo WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE Budgel Bureau No. 􀂷􀁕􀁾􀁒􀀠J09 CONTRACTS DIVrSIONS Date: November 10,2004 I, Laura }. Slokes Administrative Assistant do hereby state: (Name ofsignalory party) (Tille) (I) That I payor supervise the payment of the persons employed by S & } Electrie on (Contractor or Subcontractor) Ihe _-.:A.:;i"rp::;Ol1=Roo=d:.:P:..:h::":::e,,I:.;;Il___ That during the payroll period eommeneing on the 25" day of __-"O;;;C:.;;lo:::be::r__ 20 􀁾and ending the 􀁾day of October , 20 􀁟􀁏􀁾􀀠,all persons employed on said projeet have been paid the full weekly wages earned. that no rebates have been or will be made either directly or indirectly to or on behalf of said _===,S'?&=""Je;E;;:le",e",tr=ic==,,-__ from the full weekly wages earned by any person and that no deductions have (Contractor or Subcontractor) been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 DFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amendod (48 Stat. 948,63 Stat 106, 72 Stat 967,76 StaL 357, 40 U. S. G 276c), and described below: FICA I SOCIAL SECURITY MEDICARE (2) That any payrolls otherwise under this contract required to be submitted for the above period are 􀁣􀁯􀁲􀁲􀀺􀁃􀁙􀁾􀁤􀀠complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage Tates contained in any wage detennination incorporated into the eontract; that the classifications set forth therein for each laborer or 􀁲􀁩􀁬􀁥􀁱􀁦􀁊􀁾􀁾􀁣􀀠􀁥􀁯􀁊􀁽􀁾􀁯􀁲􀁭􀀠with the work he performed. 􀀧􀁊􀀬􀁾􀁾􀁊􀀠􀁾􀀻􀀯􀀦􀀠(3) That any apprentices employed in the above period are duly registered in a bona fide apprentieeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of labor, or ifno such recognized agency exists in a State, are registered with the Bureau Bureau of Apprenticeship and Training, United States Department ofLabor. (4) ThaI: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments offringe benefits as listed in the contract have been or wiU be made to appropriate programs for the benefit ofsuch employees, except as noted in section 4{c) below, (b) WHERE FRINGE BENEFITS ARE PAID IN CASH o Each Laborer or meehanic listed in the above referenced payroll has been paid as indicated on the 􀁰􀁡􀁹􀁲􀁯􀁬􀁬􀁾􀀠an Amount not less than the sum oftbe applicable basic hourly wage rate plus the amount of the required fringe Benefits as listed in the contract, except as noted in seetion 4 (c) bclow. (c) EXCEPTIONS .I I EXCEPTION (CRAFD EXPLANATION I I REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS #150442Airport Road Phase III CERTlFIEDPAYROLL#15 [J'ROJECT# NAME AND Tl1LE SfGN!;IURE : Laura J. Stokes I Administrative Assistant 􀁾􀀮􀀨􀀩􀀮􀀮􀀠THE WlLFUL FALSIFiCATION OF ANY OF THE ABOVE STATEMENTS MAY SuaJECT THE CONTRACT: R 0 SUBCONTRACTOR TO C[VIL OR CRIMINAL PR£SECUTION. SEE SECTION 1001 OF TITLE 1g AND SECTION 231 OF TITLE 31 OF T UNIT STATES CODE FORMWH-'J4g(II6S) I S" J erectlielll servIce P.O. 60Jt 1%1516, Fort Worth, TflxlilJ 1&121 PAYROll'15 AJdter·We-stem CoIlItactQfs Fa; Week i;ndinQ 10131104 􀁐􀁾and Loeatitm; AropahQ Road Ph$$a III #150442 PrtIjael # Nama, Aem", end Sodal 􀁓􀁥􀁣􀁵􀁲􀁩􀁾􀀢􀀠􀁾􀁥􀁥􀀠Wo<1< 􀁾􀁳􀁩􀁬􀁩􀁃􀁬􀁬􀁴􀁩􀁣􀁮􀀠or " !II M 􀁾􀁾􀀠Hl)UI'S W,mlld fiach Day T W T , S 2£ 27 " " 30 S 31 Tolal""'B Ftalli " 􀁐􀁡􀁾􀀠Re!)\Jlar W!;26S O#bl1ime W!9!!s """"'ctWeges Grn" "",,"M Eamed DEDUCTIONS Td.ll! W,H OS """" Oedut1klfls NET WAGES PAID CHRISTOPHER 6. CARliLE 613 E. MOORE GRANBURY, TX 76048 unurv LABORER 175 0 S ,• , , • ", • •• ." ,. , , , ,. 􀀬􀁾􀀮􀀠$16.SG 511.00 $313.50 $41.25 $351;.15 5481.25 S5?'36 029$4 sua "','" $3/36.61 􀀴􀁾􀁔􀀱􀀮􀀮􀁯􀁯􀀷􀀸􀀠JUAN F. ESTRADA l434 AV€NUE I FORT WORTH. TX 1£105 COMMON LABORER 172 0 S 0, • ,, go 0 10 0 11 0 0 , 0 •30.5 513 . .50 i9J.lO 5274,50 SO.OO 527<.. >35'.GO SUl3 $2U8 'MO $28.68 "",;" S5+9I»a7B eAADLEY ALLEN GRICE 1004 WESTCUFF SAGINAW, TX 76179 COMMON LABORER 172 0 S •0 , ". ,. , 0 B • , 0 0 , 0 B 24 $12.00 S8.00 $192.00 59&.00 S26a00 $446 00 $52A6 S27.65 S6A7 '00,60 $359 40 462·55-6121 FRANCfSCO MARnNEZ SR. 3512 STANLEY urtLm lABORER 0 S 0 0 " 6 0 0 0, 0 0 0 0 0 0 l'B 519.65 $13..10 $H)4.60 $2:9.48 $13426 $691.00: $46.87 $42,64 510.02 $99.73 $501.29 FORTWORTH.IX 76110 175 46.5-99--91>85 JESSE LEE RAMIREZ 2104 'WIllOW POINT DRIVE AflUNGTON,1X 76010 COMMON LABORER 112 0 S 0, 1 6 ". ,• , 0 0 ,, 0, '"' '" $1:2.00 $1;1,00 $1&0.00 $30.00 $190.00 ".,'" 􀁾􀀸􀀬􀀲􀀹􀀠$25,C5 'M. "UO $344,80 444-62-4694 OUAY£U'VllEY 5825 CIRCULAR OOIVE N RICHLAND HIllS, T:O: 76117 UTILITY LABORER In' 0 S 0, 0, 2, , 0 , 0 ,, , 12 S11,25 SO.5O $138.00 $51.75 S1I19.75 "'US SOO.94 """ $9.55 $141.31 S517Jl1 319-66-1130 TOTAl OVERTIME HOURS 17.5 TOTAL OVERTIME WAGES roYAL REGULAR HOURS TOTAL REGULAR WAGES $243A8",$1,11)2.130 TOTAL CONTRACT WAGES $1/131.26 U. S. DEPARTMENT OF LABOR Form Approved WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE Budget Bureau No. U-R 109 CONTRACTS DIVISIONS Date: .__􀀮􀁾􀁥􀁰􀁾􀁭􀁢􀁾􀁲􀀠16, 2004 1, Laura 1. Stokes Administrative Assistant do hereby state: (Name ofsignatory party) (Title) (l) That I pay orsupervise the payment ofthe persons employed by S & J Electric on (Contractor or Subcontractor) the Airport Road Phase III------That during the payroll period commeneing on the lOIh day of __-,A.:;u",8,US="t__ 20 􀁾and ending the 􀁾day of ,Jlep$ "',. S3&." .,.,.,. FORT WORTH, TX 76105 172 " 642-01-1090 , , , , , TIMOTHY DEAN SPARKS 􀁊􀁏􀁕􀁒􀁎􀁅􀁙􀁾􀀬􀁁􀁎􀀠0 S29.25, , , •004 GREENWAY GLEN APn1 102 ELECTRICIAN S a 0 $19.50 $741.00 5115.50 5915.$0 SI,160,25 􀁓􀁬􀀰􀀵􀁾􀀷􀀠S70.39 S1B.4e $193.n S966.53 􀁁􀁒􀁌􀀡􀁾􀁇􀁔􀁏􀁾� �􀀠TX 76012 m " 513-78-3175 CHARLES WAYNE StlTTON COMMON 0 0 0 0 ,. os 0 0 15 $12,75 4&18 RENOON RO lOT B LABORER S 12.511.5 11 , 0 0 0 '8.50 53<0.00 $191,25 -S511,Z5 􀁓􀁓􀀳􀀱􀀬􀁾􀀠..... $32,94 $7.70 $105.90 5425.3$ RENDON, TX 76140 m " 463-&-2229 OU>\YB, WilEY unUIT 0 0 0 0 2 0 0 2 $17,25 SIlZS CIRCULAR DRIVE LABOReR S 0 0 0 0 ,• 0 S11..5D S92.00 $34.50 $126.00 $661,00 $93" $41.35 S9J:l1 S144.12 􀁓􀁓􀀲􀁾􀀠;8 N. RICHLAND HILLS, TX 76117 175 4SHt..Q70S TOTAL oveRTiME HOURS TOTAL OVERTIME WAGES 5&14.25" TOTAL REGULAR HOURS ",TOTAL REr",u!.AR WAnes $1,773.00 TOTALCONTRACTVIAGES S2,4<17.25 U. S. DEPARTMENT OF LABOR Form Approved WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE Budget Bureau NQ. JJ-R 109 CONTRACTS DIVISIONS Date: October 5, 2004 1. Laura 1. Stokes Administrative Assistant do hereby state; (Name o£Signatory party) (Title) (I) That I pay or supervise the payment ofthe persons employed by S & J Electric on (Contractor Of Subcontractor) the __-,A..:i,,'l':.:o::. ;rt..:R;.:o:::.d::.::.:Ph:;;:os:::,:.:I:::II,-__ That during the payroll period commencing on the 20· day of _-,S::ep"t:::em=be:::,__ 20 􀁾and ending the 􀁾day of September , 20 􀁾, all persons employed on said project have been paid the full weekly wages earned. that no rebates have been or will be made either direetly or indirectly to or on behalf of said __􀀭􀀻􀁲􀀻􀀺􀀺􀀻􀀽􀁓� �􀀺􀀺􀀦􀀢􀀬􀀺􀀬􀁊􀀬􀀺􀀺􀁅􀁾􀁉􀀢􀁥􀁃􀀧􀁥􀁴􀀢􀀬􀁲􀁩􀀺􀀺􀁣􀀽􀀽􀁟􀁟􀀠from the full weekly wages earned by any person and that no deductions have (Contractor Of Subcontractor) been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 DFR Subtitle A), issued by the Secretary ofLabor under the Copeland Act, as amended (48 Stat. 948,63 Stat. 106,72 Stat. 967,76 Stat. 357,40 U. S. C. 276e), and described below: FICA SOCIAL SECURITY MEDICARE (2) That any payrolls otherwise under this contract required to be submitted for the above period are eorrect and complete; that the wage rates for laborers or mechanics contained therein are not less than the applieable wage rates contained in any wage detennination incorporated into the eon tract; that the classifieations set forth therein for eaeh laborer or meehanic conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprentieeship program registered with. State apprentieeship agency recognized by the Bureau of Apprentieeship and Training, United States Department of labofj or jfno such reeognized agency exists in a State, are registered with the Bureau of of Apprenticeship and Training, United Stat.s Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS o In addition to the basie hourly wage rates paid to eaeh laborer or meehanie listed in the above referenced payroll, payments offiinge benefits as listed in the eontract have heen or will be made to appropriate programs for the benefit of such employees, except as noted in seetion 4(c) below, (b) WHERE FRINGE BENEFITS AREPAJD IN CASH o Eaeh Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll. an Amount not less than the sum ofthe applicable basic hourly wage rate plus the amount ofthe required fringe Benefits as listed in the eontraet, except as noted in section 4 (c) below, i i ! (c) EXCEPTIONS EXCEPTION (CRAfT EXPLANATION .. REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS AJrport Road Phase III #150442 CERTlF1ED PAYROLL#!O I i , i , PROJECH NAME AND TITLE Laura J. Stokes I Administrative Assistant THE W1LFULFALSlflCATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR c.()R CRIMINAL PRESBCUTION. SEE SECTION 1001 OF TITLE IS AND SECTION 231 OFTITLE 31 OFTHE FORM WH-34g (li6a) U. S. DEPARTMENT OF LABOR Form Approved WAGE AND HOUR AND PUBLIC STATEMENT OF COMPLIANCE Budgel Bllfeml No. .f.I-R 109 CONTRACTS DIVISIONS Date: Ocwber 12,2004 I, Laura], Stokes Administrative Assistant do hereby state: (Name ofsignatory party) (nUe) (I) That 1payor supervise the payment of the persons employed by S & J Electric on (Contraetor or Subcontractor) 27110 ___A:..:l:..:·rp"o:..: rt:.;R.:;o:.:.;:d.:.Ph:.:as::.c:..:lI:..:I=-__ That during the payroll period commencing on the day of __S:.;ep!,-t:..:em::...:.be:..:r__ 20 􀁾and ending the 􀁾day of October ,20 􀁾,all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said S & J Electric from the full weekly wages earned by any person and that no deductions have (Contractor or Subcontractor) been made either directly or indirectly from the fun wages earned by any person, other than permissible deductions as defined In Regulations, Part 3 ((29 DFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948,63 Stat. 106,72 Stat 967, 76 Stat. 357, 40 U. S. C. 276<), and described beJow: FICA SOCIAL SECURITY MEDICARE (2) That any payrolls otherwise under this contraet required to be submitted for the above period are eorrect and eomplete; that the wage rates for laborers or mechanics contained therein are not Jess than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he perfonncd. (3) That any apprentIces employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognIzed by the Bureau of Apprenticeship and Training, United States Department of labor. or ifno such recognized agency exists in a State, are registered with the Bureau ofApprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS D In addition to the basic hourly \\'age rates paid to each laborer or meehanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit ofsuch employees, except as noted in section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH D Each Laborer or meehanic listed in the above referenced payroll has been paid as indicated on the 􀁰􀁡􀁹􀁲􀁯􀁬􀁉􀁾􀀠an Amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe Benefits as listed in the 􀁃􀁑􀁮􀁴􀁲􀁡􀁣􀁾􀀠except as noted in section 4 (e) be!ow. (c) EXCEPTIONS EXCEPTION (CRAFTI EXPLANATION I I i ! REMARKS CONTRACTOR: ARCHER-WESTERN CONTRACTORS Airport Road Phase III #150442 CERTIFIED PAYROLL #1 I PROJECT # NAME AND TITLE 􀁾􀀠 Laura J, Stokes /Administrative Assistant 􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁏􀁾􀁎􀁔􀁒􀁁􀁃􀁔􀁏􀁒􀀠􀀢􀁃􀂫􀁴􀁖􀁭􀁉􀁌􀀬􀀭􀀭􀀭􀀭􀀭􀁾􀀠TESCODE FORM WH·J4g{116S) I S & J ertotrkor Servlco 1"',0. Box 121151&, Fort Won/'!, Te...16121 PAYROll.#11 A!eht'lr,WUIIJm COnlradora ForWeo\: Ending: "",,,, 􀁐􀁾􀁥􀁣􀁴am! Lecation: Ampaho !W-ad PhHe III jj115O.1l42 Projo(;l.jj! Name, Address, end &>ciaISeI'Alrity# or E!Ee!!!'.t'!! Worl< Cl.u5ilir;(ltil)rt OT " 57 M " HotJra Wort'JD TITLE Laura J. Stokes /Administrative Assistant fORM WH·34g(lI6R} : ••• S & J Elaetrf<:1l1 􀁨􀁾P.O. 60x 121,516, FtlrtWOrib. TeJllIU 76121 fWtROU..l0 An:tIer.weslam Con1reC!ors For Week Emllog: 9/2t'l1tl4 Project ond lDClil!lm! Arapeho fklad Phue III #150442 􀁐􀁾􀀻􀀼􀀧􀁉􀁤􀀣􀀠Name, Addf$$!!, aM OT HOlJr.$ WoriIfjd !:11th Day Ralo Gross OEOUCTIONS NET Sod.! Seculllyf W'"' 􀁾􀀠T W T F S S TDlel Regular OyOltlme TollIl WAGIl.0' """"'d 􀁏􀁲􀁅􀁭􀁾􀁄􀀺􀁬􀁥􀁥􀀠ClaujDealiDfI ST ,." 22 24 :IS ,. 􀁈􀁣􀀺􀁾􀀧􀀱􀀢􀀧􀀵􀀠PO)! 􀁗􀁡􀁾􀀵􀀠W!IIe$ W!ges -"'" WIH SS """" Ckn:lucuoll$ eAIO" " ..JUAN F, 5SiRAOA COMMON 0 0 G G.' 0 0 6.' $12.00 3434 AVSNU£; tABORER s 10.5• 9.' 10.5 9.s •0 0 0 ,. $11.00 S320,00 $102,00 $(22.00 $422,00 $2'S.16 $6,12 $41.21 $3eQ.19 FORT WORTH, TX 7&105 112 """ 6S4·9().9818 OAvIONeFTAlIMEOlUA. COMMON 0 0 0 0 , 0 0 10.5 $12,00 91)9 $" 0Af£RS, 265618 517/190·0219 N/'t GROSS TAX SEX GROSS MALE F.LT. HIRE 01\.'.rE nCA(lUl FICA(OASOIJ 01/23/95 S.D.I S.O.1. 􀁓􀁬􀀧􀁁􀁔􀁾􀀠1'AX crT'! TAX CN'fY TAX wrON DF,J), MISC, OED. NF.1' PAY Oca.'P. .00 WOR.K 1.::r70,U C:t.ASSIFICATION 153.45 1$,7"1 OA.'!'!: :1.B 42 1HR 1RT .00 2:HR 2RT .CO .R RT ".4 lIR 4 RT 5 HR 5 .ce"RT PAY COm: VACATlo." .00 1,019 'EARNINGS 77 itl21 4127 4121 4127 4:127 4127 TX 'i"EEKL"t fIELD 􀁾􀀠TX WEEKLY IrlELD LAElORER TX WEEKLY IrlEt,j) L.ASORER 'IX WEJ;;ttt:, FIELD LABORER. 'IX 'i"EEKL'l FIELD LABOltE:R TX WEEKl,Y nELD LAElORER FDREW\N FORE:M1IN FOREMAN FQREM.l\N I!"OR.EMJ\N FOREMAN 1/17/2005 1/lS/2:0QS 1/U/20QS Ino/2oos 1/21/2005 1/22/21>05 3.0 00 10 00 11 00 9.00 .00 .00 IS.7S00 J.8 7500 U 1500 187500 IS 7500 18 7500 .OD .00 ,00 1.50 !I.DO 8.0(1 Z8 1300 28 1300 28 1.300 ZS 1300 281300 281300 .GO .M."." .GO .GO .OODD .0000 .0000 .0000 .lH!1)O .0000 .OC."."." .00." .0000 .OMO 0000 ,OOOQ .0000 .0000 ."."." .00 .CO ." .ooor; .Door; ,OOQQ ,OOM .0000 .0000 .00.".CO .CC .DO." .".OC .00 .00 ."." 187.50 la7 Sf} 201\: 25 110 95 253.17 225 04 Sl-lPWYEE 650J.9 TOTALS, HOU1H:l 58.5(1 ." ." 1.270.'11 EMPLOYEE OATA MAiiTINRZ 3207 DEEN J ROSARIO 53 NUMaER 1":MPLO"tEE 11.'0" 6l8:i6l?J4 IiS021i MARITAL STA.TU$: ;it EXEMMIONS, • FORT WORTH. 't'X 7Sl0G E'TUNIC COm;: s ClJIi:CI< NlJM5ERS: 2£5645 􀁓􀁬􀀷􀀯􀀶􀀲􀀶􀁾􀀴􀀻􀁩􀁴􀀵􀀳􀀠5EX KALE HIRE DATE 03./3.0/95 N/"I' C'.ROSS TAX GROSS F.:r.T. FICAHI.lJ FTCA (OASDIJ S.O.I S.U,I. sn..n: TAX CITY 1'111. CNT'l TAX wrON OED. MISC". OED. N£T PAY .00 751.50 7,13 ,,*.49 10 4(1 .00 .CO .00 .00 .00 .00 4Q OC 655.48 OCCIJP. WORK C'LASS:rFICATIOn DATI! 111i1: lRT ;;\lIR lRT HR RT HR.RTStiR R'!' PAY COO£ VACA1':tON tON tARNINGS illS 4:1.35 4135 4l.3S 4135 '1'X '1'X 'rX TX 't'X 369 LOJIDEa OPERATOR 369 LOADER OPERA'l'OR 3£9 WADER OPERATOR 369 LOADER OPERATOR lli9 LOADeR OPERATOR 1}17/20(15 1/18/2005 1/19}2005 1/20/2005 1/21/2005 3.0. 1)0 9 00 1(1 ,00 9.00 2.00 15.0000 15.0000 15, CC(lC IS. OO(lC 15.DOCO .CO .CO .00 .00 7.00 42.5000 22 5000 n 5000 42 50000 22 5000 .00 .CO ." .GO ." ,0000 ,0000 . DOOO .0000 .0000 ." .GO ."." .CO .0000 . 0(lC 0 .0000 .0000 ,0000 .".M .".".00 .OOCO .0000 .0000 .0(1)0 .0000 .CO ."." .DO .CO .".".DO .CO .00 150 00 l.)5.00 150 00 135 Ot) la7 SO EMPWY:£E 65026 'l'C'l'M.S: flCtmS 41.00 ." .DO 757.50 OED AMNT DEDUCTION DESCRIPTCN 40.00 12.55 MCi'25-1 2/01/05 􀁾􀀱􀀱􀀺􀀲􀀧􀀱􀀺􀁓􀁇􀀠1/2$/0$ CERT P/R AACiHW WESTElUf CON':I'RACTDRS, LID. CERTIF1EO PAYROLL PROJECT PAGe :2 929 W ADAMS STR£ET WEEK £m)!NG Arapaho Road Phase IU 1/23/05 CHICAGO. !L GOG07 JOB NUMBER, 204059 EMPLOYES OATA nco ANTONIO ss :truMa£R G579a.JU2 MARITAL STATUS, 1 EXEMP't'IONS: , '10l '1 'l'O!..ANl) EMPLOYEE NO.' GSOl& DALt.AS, TX 75227 £'!'1!NIC CODE S CHaCK N'tl'MaERS: 26563-5 214/2'15-0649 SEl< Ml\LS HIRS DATE 02/27/95 NIT GROSS TAJi GROSS F.LT. nCAI!!:t) FICA(OASn.l:) S.D.! S,U.1. STATE TAX c:.rn: TAX Ofr'{TAX UNION OED" MISC. DEt!. li'f."l' PA'i .GO 637.00 44.11 39.49 ,24 .00 ,00 ,00 .CO ,00 .00 .00 SH.ltO occtJ!" , WORK CLASSIFICATIOH DA'TE 1HR lRT 2KR itT fiR fiR RT 5 HR RT PAY CODE VA(,ATIOO £AllNINGS'" 4126 TX 1n COMMON :.ABORER 1/1'1/2005 HI 1,\0 13.0000 .00 l!LSOOO .00 .0000 .CO ,000il .CO .0000 .00 ,00 1.30,00 412;; TX 172 COMMON lABORER lj18/200S 10 Oli 13, OO!H; .00 HI.SOOO ,00 .0000 .00 .0000 .00 .0000 .00 .00 130,00 4126 TIC 112 COMMON UlBOR£it 1/19/2005 9,00 1),0000 .00 19.5000 .00 .0000 ,00 .0000 .00 .0'1,\00 .00 .00 11'1 00 4126 TIC 1?2 COMMON t..A:aORER 1/20/2005 9 00 13 001,\0 .00 J.9,5000 .00 ,0000 ,00 ,0000 ,00 .0000 ,00 .00 111 00 1126 TX 172 COMMON r...AEIQR£R 1/21/2005 :.:. .00 13 0000 1'i GO 19.5000 .00 .0000 .00 ,0000 ,00 .O SS NtlmIEit 450998154 MARI'l7IL STATUS: 2 ii:X£MPTIONS, 5 3205 DEFN ROAD EMPLOYEE NO.' GS098 PORT WOR'I1!, TX 76106 £'mNIC COm: S CliECK NUMaERS: 265642 ,fU,'1IG2G-G405 SEX M1i.LE: HIRE DATE 01/22/96 NIT GROSS TAX GROSS Ii' :t.T. FI('..AWI) Fr(,AlOASD!) 5.0.1 S.U,I. STATE: 􀁔􀁾􀀠CITY TAX CM'I"I TAX UNION OED. MISC. :0£:0, Ntt PiW .00 793.04 35.&9 49.J.'1 U.SG .00 .00 .00 .00 ,00 .00 .00 696.68 ocCUP. 'i«)PJ( CloASSIrICA.TION .ATE HR 1 RT HR RT.3 IU< RT -1 Jil< RT 5 HR 5 RT VAY CODE VACATION EARNINGS 1115 TX 118 CAJUl'ENTER 1/1"1/2005 10,00 15.2500 .1,\1,\ 2::: 8800 ,co .0000 .0000 .00 .0000 .00 ,00 1S2. SO,"4U5 n: 118 CAA.f'EN'l'gR 1/16/2005 10 00 lS.2500 ,00 22 8800 ,00 .0000 ,CO .0000 ,00 . 0000 ,00 ,00 152,50 4US TX ue CAA.PE:N'!'E!t 􀁊􀀮􀀯􀁾􀀹􀀯􀀲􀀰􀀰� �􀀠9.00 lS.2500 ,00 22 8800 .00 .0000 .CO .0000 .00 , 0000 ,00 ,00 13'1,25 4115 TX 1.1..8 Cl\.RPEN'!'I!:R 1/20/2005 !!l.Oil 􀁈􀀮􀁾􀀵􀀰􀀰􀀠.00 22 8ilOO .00 .0000 ,CO ,0000 ,CO .0000 .00 ,CO 137.25 4115 TX 118 CARPENTER 1/21/2005 2.00 15,2500 8 00 22 8900 .00 .0000 ,00 . 0000 .00 ,1,\1,\00 ,00 .CO 211.54 £MVLOYEE 650ge 'lXYrALS, HOURS 48.00 .00 .00 "/93.04 " Man4 "2/01./05 􀀧􀁓􀀮􀀱􀀮􀀡􀀲􀀷􀀺􀀵􀁾􀀠1/23./05 CER'I' F/R ARCHER 'H"!1:ST!::!tN CONTRACTORS. LID. CERTIFIE!:I PAYROLL PROJeCT PAGE 9'29 W ADAMS STRI>ET WEE): EItOlNG Arapaho RoaWY1':C tlATA GUERRERO .roSE R. SS h'UMBER 63489787 S MARITAL STATUS I :t EXEMPTIONS: • 29"1.7 Al'1...£ AVE EMPLOYEE NO. 651.49 FORT WOR'l1I, n: 761.06 L'"THNIC CODE a CHECK NUMBERS, 􀀲􀀶􀀵􀁾􀀱􀀮􀀷􀀠􀀸􀁬􀀮􀀷􀀯􀀶􀀲􀀵􀁾􀀲􀀲􀁥􀀹􀀠SEX MALE HDU"; DATE 05/1.7/96 N/T GROSS TAX GROSS 1', I.T. FlCA{lU) FrCA(OASOI) s,n.I S,U,I, STATE TAX CJ:'l'¥ TAX 􀁣􀁭􀁾􀀠TAl( UNION nED. MISC. OED. N:€T PAY .00 793.04 27.00 4«.1.7 "M .M 0000 .00 .00 .(10 .00 ')'05.37 OCCUP. WORK CLASSIFICATION DATE n 1. 􀁾􀀠2 n 2 tt HR 3. ft 4 Hft 1'1:1' 5 HE 5 RT PAY coDE: VACATION EARNINGS 4115 TX ue CARP£.N"l"ER l./17/2005 10.00 15,251.10 .M :t:t, aaoo 00 .0000 .00 .0000 ,co .0000 .CO .00 􀁾􀀵􀀲􀀠.50 41.1.5 TIt ue CARPE:lITEit 1/1.enOOS 10,00 1.5.2:'00 .00 22,9000 .00 . 0000 .00 .0000 .CO .0000 .00 .00 1.-52.50 H15 TIt He CARPIi!:N'1'ltR 1./U/2005 9.01.1 1.5.250:1.1 .00 22. eeoo .M .01,100 .00 .0000 .00 .0000 .00 .CO 1.37.25 H15 TX 1l.e CAR.PRN:"l"ER 1/20/2005 􀁾􀀮􀀠1.11.1 1.5.2500 .00 :t2.6600 .00 .1,1000 ,M .0000 .00 .0000 .00 .00 1.37.25 411.5 TX 1.1.8 CARN::NTER 1./21./20050 2.00 15.2500 e,oo 22.9900 .00 .0000 .00 ,0000 .00 .0000 .00 .00 213.54 DlPLOYh'E 65149 TOTALS: HOtJRS 49.00 00 .00 793..04 MCP254' • 2/01/05 ,'11,21,56 1/23/05 CEItT P/R ARCHSR WESTElUl CONTM.C1'ORS, SU W ADAMS Snt££T CHICAGO, IL LTD. 60607 C E R. 'l' I f' ;; 1> II PAYROLL Wttl\ :c..."ING 1/23/05 PROJECT Arapaho Road Phase III JOB mJHB£R. 20<\059 PAGE mPLOYE£ DATA ................................. BlIBrulN 6404 l!IROQKltAVl!N ,,'CRT WORn!, 'Me 􀀸􀀱􀀱􀀯􀀹􀀲􀀲􀁾􀀲􀁡􀀲􀀴􀀠• E,"", 1fiD). 5S NUMBER 463453175 MAAI'l'AL STA'I'tl5, :2 l".lO;:MP'l'IONS, EM$'!.OVEE NO.' 6$.04$ ETHNIC CODE S CHECK NUMBERS; 265601 t>'.ALE HIRE DAn: N/T GROSS SEX TAl( GROSS F,I '1'. FICAIHI) FICAiOASDI) (J2/23/:lS S.O,I S.U.I. STAn.: TAX CI'I'Y TAX CNTI TAX UNION OED. MISC. OED . NET PAY OCCUP. .00 747.26 "iORK CLASSIFICATION 50,52 43.85 DATE 1 1026 HR 1 RT 2 ,OQ HR 2 RT , DO HR RT ,00 HR itT .00 5 HR . 00 RT PAY CODE .00 VACA7ION 40 00 l!'.ARNINGS 602.65 1153 U53 415) 41Sl US) 'l'X 'l'X 'l'X 'l'X 'l'X 166 FORMS S:&'1"!1l:R 1116 FORMS SS'Z'!ER 166 FOl'IHS S£"!""J.'ER 166 FORMS S:E"!'t'ER UII FORMS S:E"!'t'ER 1/11/2005 1/18/2005 1/19/2005 1/20/2005 1/21/2005 2005 10.00 10.00 :I 00 00 00 152500 15 2500 15.2500 15.2500 15.2500 .00 .00 .00 .00 II.DO 22 22 22 22 22 8800 9800 B800 6600 aeoo ,DO .00 .DO ,DO .00 .0000 . GGOO ,0000 (;00(; ,0-000 ,00 ,DO ,00 .00 .00 .0000 . GOOO .0000 .OOGO .001,10 ,00 ,00 .00 ,00 .00 .0000 .0000 .0000 .0000 .0000 .00 .00,".00 . 00 .00 .00 ,00 .00 .00 152 SO 152 50 13·/.2513"1.25 16·/, /s 􀂣􀁍􀁐􀁌􀁏􀁾􀀠G6046 􀁾􀁾􀁔􀁮􀁌􀁓􀁬􀀠HOURS 4S.00 .00 .00 "I'I"I,2e OED AMNT 40.00 DEDUCTION DESCRIPTON 12SS EMPLOYEE DATA BfJ't"l'ERWORTtI JASON 105 LAKEHILL DRIVE HICKORY CRlC£K, 'l'X 940/497-4971 N/T GROSS 7S0fiS TAX SS Nt]!4BER EMPLO'ilCE NO. i:'l'lfNIC COOt """GROSS F.I.T. &1.2057006 lGIRl'TA-L STA7US: 2 EXEMPTIONS, sa075 C CHEel( NUMBERS: 265603 MALE: HIRE M'l'E 06/01/96 FICA (HI) FICAiOASDI} S.D,! 2 S.U.I. STATE TAJ( CITY TAJ( ClITY TAX UNletl OED. MISC. DEO. t.'£T PAY OCCU'P' • .00 7U.66 WORK CLhSSUrCA7ION 52,37 44.62"',.. 1044 fiR 1 fiT 2 .GG HR 2 fiT l ,00 HR l itT .00 ., n <\ fiT ,00 S NR S .00 1<'1' PAY CODE .00 VACAT'ION 9231 519,92 EARNINGS EARNINGS d15 4115 4115 <1.115 4115 'l'X ll1l CAAP'Eln'ER 'l'X U8 CARP!i'.ln'SR 'Me 11e CARP'£NttR 'l'X 118 ChRP!i'.ln'SR 'l'X U6 CARmm'..R. 1/17/2005 1/1S/2005 1/1!i/20G5 1/20/2005 1/21/200S 10.00 10.00 10 00 9 00 1.00 14,2500 14.2500 14.2500 14.2500 14,2500 .00 .00 .00 .00 1.00 21.3800 21 zaGO 21 3800 21 3$00 213$00 .00 .00 .00 .00 .00 ,0000 .0000 .0000 .0000 .0000 .00 ,00 .00 .00 .00 .0000 .0000 .0000 .{moo ,OOOG .00 ,0' .00 00 .00 ,0000 ,OGM .0000 .0GOG ,0000 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 H2,SO 142,50 242,50 128 25 163 91 £!IIPLOVEE 68075 'tOTALS: llOtmS 47, GG .00 .00 719,66 OED AMNT 92.31 OEDUCTION DESCRIPTOR CHILD StwroR'l' MC1'254 "2/1)1/0'5 􀁾􀀡􀀺􀀮􀀱􀀠2'1,56 1/23/0S CERT PIR MOlER 􀁾􀁅􀁓􀁔􀁅􀁒􀁎􀀠CON'TRACTOks, uTD. CERTIFIED PAYROLL PROJECT PAGE S $2$ W ADAMS STREET WS:EK UIDING Arapaho Road. 􀁐􀁨􀁡􀁾􀁥􀀠III 1/23/0S OIICI\OO, XL 60607 JOB !1\lM1lER. 2040S9 􀁾􀁐􀁌􀁏􀀧􀁊􀁅􀁅􀀠DATA ,"""'ON ALPREOO SS NUMBER 6130UZ7S MARITAL STATUS: 2 EXEMPTIONS, 10$18 PARK OIlK CIRe!..E EMPLOYEE NO. 681'9 DALLAS, 'l'.l\ 75228 E'l'l-illIC CODE S CHECK NUMBERS t 25562ol. 􀀲􀁉􀀴􀀯􀀵􀀲􀀶􀁾􀀰􀀹􀀱􀀵􀀠SEX MAL, KIR£: DATE 0'1/19/00 N/T GROSS TAX GROSS F.!..T, FICA(RI) F.TCA (OllSD!) S.D.!. s.u,!:. STATE T1\l( CI'I'Y TAX CNTY TAX UNION DED. MISC. DEn, NET PAY ,00 1,131.0'0 10$.07 67.64 1582 .00 " .. ".... .._" lB." OCClJP. *ORX CLASSIFICATION DATE 1RR R'1 :rRR ItT UR 3 􀁾􀀠􀁾􀀠􀁾􀀠R'I' 5 KR S RT PAY CODE VACATION SARNlNGS 4113 n: CARPEtlTER FOREMAN 1/11/2005 1050 19.5000 .00 2;'.2500 -00 .0000 .0000 ,0000 .00 .00 204 '"IS." -" 4113 '!'X CARPENTER FCR.EMA.N 1/1a/2f)f)S 10.00 1l!',$000 .00 29.2500: .00 .0000 .00 .0000 .00 ,0000 .00 J.9S 00." 4.113 '!'X CARPENTER 􀁾􀀠1/19/200S 10.00 19.5000 .00 2'9.2500 .(01)0 .0000 .1)000 .00 195 00." ." ." ." 4.:113 1'X CARPENTER FOR:E:W\N 1/20/2005 9 5C 19 5000 1.00 29.2500 _CO .0000 .00 .0000 _M .(1(100 .00 .00 23.4 SO 411'3 TX CM:£'»lnIOliS:""ME 283li IU,ASKA AVENUE EMPLOYEE NO.' 6e:lU D/I\J..lr.AS, n: 752Hi Zl'fINlC CODE 5 CRECK NUMBZRS, 255634 􀀧􀀷􀀺􀀲􀀯􀀵􀀷􀁾􀀭􀀳􀀳􀀶􀀳􀀠SEX MAL, t(IRE OJ\TE 09126/1lil N/T GROSS TAX GROSS T'.I.T. FICAUiI) FICA (OI>.SDI) 5"0.1 S.U.L STATE TAX CITY TAX CN'l"I TAX UNION OED. MISC. DE!), NF.'t' PAY .00 􀁾􀀧􀁩􀁏􀀮􀁏􀁏􀀠15,15 30.35 11 .CO .00 00 .00 .00 .00 .00 U7.36 OCCUP. WORK 􀁃􀁌􀁁􀁓􀁓􀁬􀁲􀁾􀁃􀁁􀁔􀁉􀁏􀁎􀀠om: 1HR 1RT IlR , lIT HR RT 4 HR RT 5 rut RT PAY ('OPE VACAUON 􀁾􀀢􀁩􀁉􀁎􀁇􀁓􀀠4126 n: 172 COMMON LABOUR 1/17/2005 10 00 10.0000 ,00 15.0000 .00 . 0000 .0000 .00 .0000 .00 .00 100.00 4.126 'l'X 172 COMMON l.JI.SOUR 1/16/2005 10 00 10.0000 .00 15.000(1 .00 .0000 .00 .01300 .01300 .00 .0(\00 .00 .00 100,00 41-26 'l'X 172 COMMON LAllORER 1/19J::aOOS 9 00 10.0000 .00 15.0000 .'0 ,0000 .00 ,0000 .00 .0000 .CO .CO 90 OQ 4126 'l'X 172 COMMON w.J30R£R 1/20/2005 'i 00 10.0000 .00 15.0000 .00 .0000 .00 .0f)f)0 .00 .0000 .00 .00 90 00 4126 n 172 COf+lON tJUlORER 1/21/2(1(15 2 0(1 10.0000 00 1S.0000 .00 .0(\00 .00 .(10(10 .00 .0000 .00 .00 UO 00 EMPLOY" U382 TOTALS \ HOURS 45,00 .00 .00 190.00 Ef>IPL\'.lYEE DATA m::ttl.'ORO RIOOHli:R'1'O 55 NUMBER 42728374& W,RlTAL STATUS: 1 E.XE!MlnIQNS, 1201 ST LOUIS AVENUE Ii:MPlrO'iEE NO.' G8!HS FORT WORTH. 'l'X 76104 ETHNIC CODE , S CHSCK NUMBERS, 265611 817/413--0178 SEX I>'ALE :llRlt DATE 05/n/Ol NIT GROSS TAX GROSS F. IT. FICiH:l1l FICA (00501) S.D.! S.U :. STATE TAX CITY TAX CNTY TAX UNION DEn. MISC. OED. N£'l' PAY . 00 􀁾􀀶􀀰􀀮􀁓􀀰􀀠1tHL57 58.83 U.76 ,00 .00 .00 .00 12.00 775,44 " . OCCiJP. WORK CLASSIFICATION DATI: 1HR 1RT 2HR 2RT n 3 RT n 4 U 5 n RT PAY COOE VACATIQN EARNINGS 4115 'I'X 11S CAAVUiTER 1/17/2005 10 Oil 15.2500 22.8800 .00 .0000 .0000 .00 ,0000 .GO .0000 .00 .00 152.50."4115 'l'X 118 CAAPENTER 1/1B/2005 10 00 15.2500 .DO 22 .88(\0 .00 .0000 .00 .0000 .00 .0tltlO .RR .OR 152,50 4115 'I'X US CAAPSNTER 1/19/2005 10 (10 15,25013 .00 22, B800 .,. .000tl .GO .0000 .00 . 0000 .00 .00 152.50 4115 'l'X US CARPEN'l"li:R 1/20/2005 ](1 00 15 2500 .DO 22 S800 .00 .0000 .00 .0000 .00 .00tlO .00 .00 152.50 4115 'I'X US 􀁃􀁁􀁒􀁐􀁅􀁾􀀠1/21/2005 .00 15.25(\0 10.130 22.8800 .GO . OOtlO .00 .MOO .0' .MOO .00 .OR 228. ao EMYLOVE:E 68545 'TOTALS, HOURS 50.00 .00 6313. BO." !)SD AMNT DEDUCTION OOSCRIPTON 12.00 l.2SS •• MC[,254 2/01/051' 11:27:56 J.J2J/05 r.:£l{'l'" PIR ARCHn m::STEJUi CON'!'RAC"tORS. L'1'O. C E R T 1 FIE 0 PAYROLL PROJE:CT PAG? ., 92" W lII!»\MS STREET U£E!K ENDING 􀁁􀁲􀁡􀁾􀁨􀁯􀀠Road Phase III 1/23/0s ClUCAGO. IL 6Dli07 JOB 􀁾􀁐􀀺􀀬􀀠204059 􀁾􀀢􀁍􀁐􀁌􀁏􀁙􀁅􀁅􀀺􀀠DATA OCHOA J£SUS 55 NUMfieR 4!;'>6l762:lg. M.lIJ:I:ITAL STATtlS: 2 IaEMPTI0N5: 2l1i'4.4 LIPSCOMB EMPLOYEE NO.1 5aS80 FORT UOll:TH, n: 76111.1 ETHNIC conE! , S O:IECK NUMBERS, 265628 817/920-771;2 SEX MALe HIRE PAn: 11/12/01 N/T GROSS TIIX GROSS F.I.T, FICA 􀁾􀁈􀁬􀀩􀀠FICA (OASDI) S.D.I S.O.I. STAn: TAX CITY TAX Clm/TAX UN1.0N Dim. MISC. DP.O, NET PAY 􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀠.000 797.50 27.44 -1$,45 .00 .00 .OC 709.05llM"""" DeCO!? WORK CLASSIFICATION OkTE HR ft 2 HR M J 􀁾􀀠1 H 􀁾􀀠􀁾􀀠.. H 5 HR RT PAY CODE: VACATION &ARNINGS ..115 n: 1l.5 CARPE"Ii"l'ER 1/27/2005 10'.00 14.5000 .CO 21.750000 .00 29.0000 ,00 .0000 .00 .0000 .00 .00 145.00 4115 n: a8 CMU'?li"l"BR 1/18/2005 10 00 14 ,5000 .CO 21.7500 .00 29 0000 .00 .0000 .00 .0000 .00 ,on 145,00 4215 'rX 118 CARt>£N'l'£R 1/19/2005 :10 00 H 5000 .CO 􀀲􀁬􀀮􀀮􀀱􀁾􀁏􀁏􀀠.00 29.1.1000 .00 .0000 .00 .0000 ,00 ,00 14S 00 4115 TX 118 CARPEN!'li'.:R l/Ze/lI.lOS 10 00 14 5000 .CO 21.7500 ,00 29,0000 ," .0000 .00 .OOOD .00 .00 :14.5 00 ..115 TX US CAI'I.PEN!'F.R 1/n/Z005 .00 14.5000 10.00 21.151.10 .00 29.0000 .M ,0000 .00 .0:0:00 .00 .00 :U:f 50 EM1'LOVES 65.,80 TOTALS, HOURS SO.OO .00 .00 797. sa EMPLOYEE DATA MADI'I.ID m.VA ROMAN 55 NUMD£R 591428435 MARITAL STATUS: :I eX£M[,TIQNS, 1201 5T LOUIS AVsmJE." EM['LOYEE NO. 􀁾􀀠GaliS5 FORT WORTH, n: 16104 ETHNIC coDe 5 CHECK m:MSERS, 265623 S17/33G·"l',l:1 SEX WI.!£ HIRE DATE 11/16/01 NIT GROSS TAX GROSS F.I T. FICAiHII FICA {OASOl I 5.0,1 S.O.I. STATS TAX C:rI'Y TAX UNION OED. MISC. oro. NET PAY""" TIUI .CO 882.00 52.26 52.20 12.21 .OC ,co ,00 .00 • tit) ,00 4000 725,33 OCCUi>. WORK CLASSIFICATION 􀁏􀁁􀁔􀁾􀀠1.HR:1RT2HR2RT RT 4 HE RT 5 RR RT PAY CODS VACATIQN DRNINGS 411S TX lUI CARPE.N'T"&R 1./1.7/2005 11) 00 H 0000 .00 21 0000 .00 29 0000 .00 .0000 .00 . 0000 ,00 ,00 .00 140.00 41.1.5 n: 1l.8 CAItPEtI'l'£:R 1/18/2005 10.00 14 COOO ,00 21 0001.1 .00 28 0000 .on .0000 .00 .Ol!!!!i ,00 .00 HO,OO 4115 n: 118 CARP£N"]'£R 􀀱􀀯􀀱􀁾􀀯􀀲􀁃􀁏􀀧􀀵􀀠10 00 14 0000' ,00 21 0000 ,00 28.0000 .0000 .0000 ,00 140, (10," ," .00 4115 n: 1l.8 CARP£N't'll:R 1/20/2005 10 00 14 0000 .1)0 21.CI)00 ,00 28.0000 . 00 .0000 ,00 .CCOO .00 .00 UO,()() 41.15 n: 1l.8 C1IJ'li:NTF.R 1/21/2005 .00 U.OOOO 10 00 21.0000 ,00 2a.oooo .00 0000 .00 .0000 .00 210,00." EMPLOU';£ 68685 'I"O'tALS i HOURS 50,00 .00 .00 77Q.OO DED AMNT DEDUCTION DESOi::tVTON 40.\)0 :125i!> M'CI'2si 2/01/05" 􀀱􀀱􀁾􀀲􀀷􀀬􀁓􀀶􀀠1/23/05 CERT P/R AROfER WKSTERN 􀁃􀁏􀁎􀀧􀁲􀁉􀁴􀁁􀁃􀀧􀁬􀀧􀁏􀁾􀁓􀀬􀀠bTl). CERTIF1EO PAYROLL PROJECT ?1>.GE a 929 W 1\DAM$ STRF.E1' WEEK ENDING Arapaho Road Phase III 1/2l/05 CHICAGO, U.. 6060? JOB NUMBER. 􀀧􀀰􀀴􀀰􀀵􀁾􀀠EMPLOYEE DATA ESCOShR EMILIO 55 troMB£R 4n298128 t-"'A.RITAt. STA'l"JS, 2 EXEHPTIONS: 42300 AVE A EMPLOYEE NO,: 6879B GAAND PRAIRIE. '!'X 75051 1:."l1UUC COO£; C CUEeR !'UMBERS, 2GSGH 9?21264-91H't SEX MM.£ HIRE DATE 05/02/02 N/T GROSS TAX GROSS F.I.T. FICAtHIl FICA (OASDI) S,D.1 S.U.:!" $TATE TAX C:t1'Y TAX CNT1( TAX UNION OED. MISC, DED. NET ?AY .00 I,16l.40 94.47 69.65 1G 29 .00 .00 .....00 .,.n _u OCCUP. tiel'lK ClASSIFI:CATI:ON DAn 1RR RT 2HR RT RR RT 4 MR 4 RT 5 HR 5 RT ?,l\.Y CODE VACATION EARNlNGS --------------_. 4124 1'X WSEKLY INS,RtlMENT MAN 1/17/2005 1.0,00 1.&.8000 ,co 25.2000 .00 ,0000 ,00 .0000 .00 .0000 ,00 .CO 1&8.0D 4124 'J?{ lfZtlS6)3 9'IZ/lS3-0SJ2 SEX MALE UXU DAn 05/14/02 N/T \ilROSS TAX GROSS F.I.'l', FICA (III) f'ICA(OASDI) S.D.l S.U.L S1'A'!'F. TAX CITY TAX Cr.""IY 'fA)t W!ON DED. MISC, OSD. NET PAY .00 63J...25 71.72 38. J!'! a.9a .00 .M .00 .DO .00 .00 1.2 00 492.16 OCCUP. WORK CLASS::::fICATION Illm , HH RT RR RT3.IIRJR'!' HR R'l' 5 HR 5 Tn' PAY CODE VACATION El'JlNlliGS !lU' 'rx ZOS PIP£t.AYER 1./17/ao05 l.0.0{l 1.2.S()(l0 .00 187SOO .00 .0000 .00 .0000 .00 0000 .00 .00 125.00 4139 'rx 205 PIP&W\YER 1./1.8/2oos 10.0(l 3.2.S000 .DO 18 75tH! .DO .0000 ,O(HJO 00 ,0000 .00 .00 125. CO."4139 '.t'X 20S PlP£W\YE:R l/391200S 10.00 12.500{l .00 18 7500 .00 .0000 .00 ,0000 .DO ,(1000 .00 .DO 125.00 4:139 TX 20S PIPElJ.YER 1/2(1/2005 9' 01) 12 ,SCi'1C .DO 16.7S00 .DO .0000 .00 .0000 .00 .0000 .00 .DO 112.50 4139 TX 205 P:tPELAYER l./21/2005 1.00 12.S00C 'DO 15.7SCO • DO .iHH.lO .DO .0000 .DO .0000 .DO .00 143.75 EMPltOYEE: 61361.0 ;'(l1'Il.LSI 1I000JRS 􀁾􀀷􀀬􀀠00 .00 DO £31.25 OED A.MN'r DEDUCTION Ol!:SCRl.PTON 12.00 125S EMPLO¥E£ Th,TA JOSE v. SS Ntli'fSE'R 75590S3,0 MARITAL S'l'AWS: 2 EY.EMPTlONS:CO"'''''''''4115 SAKER O!t .5:1 10.ao .00 .DO .0000 ,00 .00 12.00 66),"12 OCCUl' . WORK ClrJ\SSIFJ:CATION" OATS lHRli!T2I1R RT HR ) RT HR 4 IT 5 Hit IT PAY CODE VACATION F.AR.NINGS U1S 'IX 11e CARPi!:NTER 1/17/2005 10.00 14.2500 ,ee 21.JSOO .M .0000 .DO .MOo .00 ,0000 .00 .DO H2.5{l 4115 '.t'X 11S CARP£STER 1/10/2005 10.00 14.2500 ,00 21 3S0Q .00 .0000 .DO ,{lOOO .00 .0000 .00 .00 1.<{2.50 4115 'l'X llS CARPEN'tt:R 1/19/21.11.15 10.00 14 2500 .OC 21 JeCO .DO ,0001.1 .DO .0001.1 .DO ,0000 .00 .00 142,50 4115 '.t'X 1].8 CARPEN"!'£R 1/2012005 9.00 14 2500 .00:n zaoo .DO .0001.1 .00 .0000 .DO .0000 .00 .00 128 25 4115 '.t'X llS CARPE!Il"1'l;;R 1/21/2005 1.00 1425CO 9,00 21. 3ace .00 .1.1001.1 .00 .0000 .DO .0000 .00 .00 206.67 EMPLOYE:E 68914 'l:'OTJU..5: HOURS 49.00 .00 .00 762.42 D&U AMNT OE:OUCTlON DESCRIWTQN" 12.0(1 1.25S 􀁍􀁃􀁆􀀲􀁓􀁾􀀧􀀠'2/01/0S' 11,21:56 􀁾􀀯􀀱􀀮􀀲􀀯􀀰􀀵􀀠CERT plR hRCHER WESTERN cmrrRAC7'ORS, LTD, C E R '1' I FIE D PAYROLL PROJECT PAGE 10 92"9 \1 AnJ\MS S'l'R.EE'l' WEEK EJroING 􀁁􀀱􀀮􀀢􀁾􀁰􀁡􀁨􀁯􀀠R Oad phase I.!I 1/23/0S CHICAGO. ::r. 60601 JOB NUMBER, 204059 􀁾􀁐􀁌􀁏􀁙􀂣􀁅􀀠DATA CORONADO CESAR SS truMaU 435897065 MARITAL STATUS, 2 EXEMPTIONS, 6 1022 SQWMAN EMPLOYEE NO'.; 68.916 PALLAS. TX 7S2l2 ETHNIC COnE S CHECK NUMBERS, 265608 214/634-79:2' SEX MALE lIIflE DATE 06/28/02 NIT GROSS TAX GROSS <',I.T. FlCA(lUJ FICAiOASI'iII S.D.I S.U.I. STATE TAX CITY TAX C>lTY TN< UNION oto. MJ:SC. OED, m."T PAY .00 􀁾􀀵􀀲􀀬􀀵􀀰􀀠29.36 50.3& 11 18 .00 .00 .oo". .," _ .• OCCOE'. WORK CLASSIFICATION DATE lHR1RT2HR RTlHR 1'1.1' 4 tiE 4 1'1.'1' fiR 5 1'1.'1' FAY CODE VACATION WtNLNG5 􀁾􀀱􀀱􀀵􀀠'l'X l1S CARPENTER 􀀱􀀯􀁾􀀱􀀱􀀲􀀰􀀰􀁓􀀠􀁾􀁏􀀠00 􀁾􀁓􀀮􀁓􀁏􀁏􀁏􀀠,{l{l 23.2S00 .oo .0000 ,{lOOO .00 .0000 .DO .CO 15:5.00.• 4.11S 'l'X 116 CARl':£NT£R 􀁾􀀯􀁬􀁂􀀯􀀲􀀰􀀰􀀵􀀠1{l 00 lS.5000 .(l{l 21,2500 .0000 .{lCOO .DO .0000 .00 .00 155 DO.. ." ,(){)O{l .•4115 'l'X 116 CARPli:N'l'ER. 1/19/2005 10 00 􀁾􀀵􀀬􀀵􀀰􀀰􀀰􀀠.00 2) lSOC . DO .0000 .0000 .DO .00 155 ao 4115 'l'X 118 CAAPEH'l'ER 1/20/2005 :to.00 15 5000 .00 23 2S0{l .DO .0000 .DO .0000 · DODO .DO .00 155 oa.. 411S TX US CAf(PEH'l'ER :t/n/2oos ,co 1$ 5000 10.00 23.2500 .DO .0000 , DODO .00 ,0000 .00 .DO 112 50." EMPLOYEE nn6 'I'OTAI,£l< HOL'RS 50.00 .00 liS::!, Sf) .. OeD AMNT DEDUCTION DESCRIPTON '10.00 l:!SS EMPLOYEE MTA GUZMAN MANUEL s. SS NUMllER 641031797 MAl!:ITAL STA:ruS: 2 EXEMP'!'IONS: 901 HODGSON STREl:.' EMPLOYEE NO.' 689SS FORT WORTU, 'I'X '611S E1'lINlC CODE S CHECK »t)MR£RS: 􀀲􀀶􀀵􀀶􀁾􀀹􀀠an!922-9S02 SEX HA.UE HIRE DATE 08/06/02 NIT GROSS TAX GROSS F.!.'!. Fle;"Ul) nCl'dOASOI) !I.ILI $,O• .!, STA1'£: TAX C.!TY TAX CN'N TAX UNION ntD. MISC. om, NET 􀁴􀀾􀁁􀁾􀀠,00 669.16 33,77 40.14 .53 .. DO ."" "DO =.U Occt1P. WORK CLASSXFICATION DATE lHR 􀁾􀁒􀁔􀀠HR ""ft l AA 11."1' " HR R'r 5 fiR 5 R'I' PAY CODE VACATION WtNl.NCS2 4115 '!'2( l1S CARPE'N'l'ER 􀀱􀀯􀁾􀀷􀀯􀀲􀀰􀀰􀀵􀀠􀁾􀁏􀀮􀁏􀁏􀀠1.2,2500 .00 19.8800 .0000 ,0000 ,0000 .DO .00 lJZ, SO.. ." .. ."4115 TX 118 CM.PlMTER 1/1.. /2005 10.00 1:1: 2500 .00 19.8800 .00 .0000 .00 .0000 ,0000 .DO .00 U2,50 UlS TX l1S CJ\JU>EN'l'ER l/19/200S 1{l DO 1),lSOO .00 19.6800 .00 .0000 .OOOC .00 .0000 .00 1}2 50." ."11lS TX 11 & CARPF.HTER 1/20/2005 9 DO 13.2S0{l .00 U: 8800 .00 .0000 .00 0000 .oo • DODD .00 .DO 119.2S -Ill!> TX 1:1 5 􀁾􀁐􀁅􀁭􀀧􀁅􀁒􀀠1/2l/200S 1.00 􀁾􀁊􀀬􀀺􀀺􀀵􀀰􀀰􀀠1.00 􀁾􀀧􀀬􀀶􀀶􀀰􀀰􀀠.00 .0000 .DO ,(1000 .00 • DODD .00 .DO 1S2.H EMPLOYEE 1.>!i98a 'to'l'ALS, HOURS 47,\)0 .GO .00 669,:L6 OED AMNT OEDUCTl:ON OE5CRIl'TON 12,{l{l 125S 1'fCP254' ·2!!)1!!);" '11;27;56 1{23/05 CEa'T t>/R ARCHER 'W'£S'!'ERN CONTRACTORS. LTD. CERT!.f':r.ED PAYROLl. PROJECT PAGE 11 929 W ADAMS STRE£'t WEEK £:NVING Arapaho Road Phase III 1/2l/0S CH!.CA.OO, IL 6060';' JOB NUHBEtR. 2{H059 EMPLOYEE DATA .., ,JOSE ERNESTO SS NUMBEa 4&7576035 MAR.t:rAL STATUS, 2 E:t£HI:"TlCiNS, 3828 MOLEa STR£t:T EMPLOYEE NO. 69B6 DALLAS, "nC 7S2U E1lrn:r.C CODE S CHECK NUMBERS; 2656<19 􀀲􀁬􀁾􀀯􀀳􀀳􀀷􀀭􀁓􀀸􀀶􀀺􀀱􀀠SEX HALE lURE DATE 07!J.O/9,fJ N/T GROSS TAX GROSS F .LT. FlCAjHI) FICA (OI\SOI) S.D.l S.o,I. STA'n; TAX CIT'! TAX om TAX UNION DZO. MISC. OED. !lET PAY 􀀭􀁾􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀭􀁾􀀠.00 8l.3,2S 55.38 49.68 UAHN"H ,00 ,Ol) 1200 654,57 OCClJP. WORK CLflSSTFTCAITON D'TE 1 HR 1 RT 2 HR 2 RT 3 HR J RT 'I HR 'I RT ;. HR RT PAY COPE VACATION EARNINCS 4113 TX CARPEH'l:'U WREMA.... 1/11/2M5 10.00 16.0000 ,DO 24,1500 .00 ,0000 .00 .0000 .00 . 0000 .00 .00 160,00 Ull TX CARPENTER £"ORF-MAN 1/18/2005 10,00 16.0000 ,00 24,7500 ," .0000 ,00 .0000 .00 .0000 .00 • 'Q HiO.OO OO 4.3.13 '!X CARPBN".n1:R FOREMAN 1/19/2005 10 00 16.0000 ,(HI 24.711i00 .GO .0000 .00 .0000 .0000 .00 00 J.60 00.,'un '!X CAAPEN1'l':':a FOREMAN 1/2()/:.< 005 9.00 1(;,0000 .00 2 .. ,7500 .0000 .co ,0000 ,00 .0000 .00 ,00 1-44,00 un 'IX CARi'1i!NTIi.:I'!. 􀀺􀁴􀀢􀁏􀁲􀁵􀀺􀀺􀁾􀀡􀁁􀁎􀀠1/21/2005 1.00 16,QOOO 7.00 24 750\1 .QQ ,0000 .00 ,0000 .00 .0000 .co 18-9,25" .Q' I::MPLDYEE 6913£ TO'tA.LS, HOURS 41,OQ .QO .co 813.25 OED 􀁾􀁾􀀠OKDUCTlON DESCRIi'TON 12,00 l:l:SS 􀁾􀁐􀁌􀁏􀁙􀁅􀁅􀀠DATA RICO JAVIER S5 NlMSER ua2956H MAIUTJU. STATUS1 2 EXEMPTlOUS, 2 :.<839 !\.LASKA AVEN"tJ& RM?LOYEE NO.' 69211 OA.LLMi, l'X 750216 II.:'l'HNIC COCE 5 OlECK NUMBERS i 265636 2:14/975-0649 SEtX MALE HIRE DATE lO/02/96 N/T GROSS TAX GROSS F.I,T FICA (HI) 􀁲􀁬􀁾􀁁􀁩􀁾􀁓􀁄􀁉􀀩􀀠S.U,l S.U.I. STATE TAX CIT'! TAX CN'l'Y 'TAX UNION D£Q, MISC. Den. NET PI\'t 􀀭􀁾􀁾􀁾􀀭􀀭􀀭􀀮􀀭􀀭􀀭􀀮􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾.00 527. so 25,0£ :>l.11 7.65 .00 .GO .00 .'Q .00 '162,Oa." ."oCC(W, WORK Ct.ASSlFTCATIQN DATe lHR 2rti 2HR 2RT HR RT48R4.RT fiR 5 RT PAY CODE VACATION EARNINCS 4.3.21S 'IX 172 COMMON T.JIBORER 1/17/2005 10.00 10.0000 .00 15 0000 ,Q, .0000 .00 ,0000 .00 .0000 .00 ,00 lOO.CO U26 TX 172 COMMON LABORER 1/18/200;' 10.00 10 0000 .00 15 0000 .00 .0000 .00 ,0000 .00 .0000 .00 100,00,"4126 􀁾􀀠172 CONMON tJUlOR.£R 1/19/2005 10.00 10.0000 ,00 1$; 0000 .00 0000 .GO ,(';Q{';o .00 .0000 .00 .GO 100,DO 4126 TX 172 COMMON LABOR.£R 1/20/2005 !.O,M 10 0000 ,so lS 0000 .00 ,0000 .00 .0000 .00 .0000 .co .00 107,50 4126 TX 172 COMMON LAB(lREa 1/21/20DS .00 10 0000 6.00 150 DODO .GO ,0000 ,00 ,0000 ," .0000 .00 ,00 120,00 EMPLOYEE 69211 TOTJU.S, HOURS 48.50 .00 52'? .50," MCP254' '2/0<1/05' 11,21,56 1/23/05 CERT P/R ARdiE1!. WSS't'ERli CON'T'1O\CroR5, LTD. CERTIFIED PAYROLL PROJRC'T PAGF. 12 92" W A!))\!'o$ STREET WEEK £:ttOlNG Arapaho Road pi:tue III 1/n/05 ct>ICAGQ, II. '\'IEi01 JOB mJMF.I£R, 204059 EMt>LOYEE 􀁾􀁔􀁁􀀠RICO JOSE A. SS NUMBER 4S322S11Z MARITAL STA'tUS, 2 EXEMf'TIONS, , 1037 'l'OLJI.Ktl £'ffi!'J.,OYEE NO,' nn3 PALIJl.S, '!"X 1522'7 £'l'RN1C CODE: 5 otECK NUMal!ltS, 26S53"1 􀀲􀁊􀀮􀀴􀀯􀁚􀀢􀁓􀁾􀀰􀀶􀀴􀀹􀀠MA1,l! fURE DAT£ 10/02/98,EX N/T GROSS TAX GROSS F.:LT. FICA!KIj FlCAIOASDIj 5.0,1 S,U,1. STATE TAX CIT':( TAX eN'!"{ TAX UNION OED. MISC. OED, NET PAY ,00 539.00 1,59 33,<\2 7.8:2 .00 . CO .00 .00 .00 ,00 ,00 "96.17 OCCUl? WORK CLASSIFICATION !W!" I HR 1 RT KR2R:T3HR RT RR fl.'r 5 HR 5 RT PI\.Y CODe VACATION EARNINGS 1126 'l'X 1i2 􀁾􀁎LABORER 1/17/2005 10.00 11 0000 .00 16.5000 .CO .0000 .00 .0000 .00 ,0000 .00 .00 110 00 4126 TX 1"12 COMMON LAlIORER 1/18/2005 10 00 11 0000 .0' 16.5000 .CO .0000 .00 .0000 .00 , 00 [)O .00 .00 110 00 4126 '!"X ln COMMON lJ\.I)OOER OOER 1/19/2005 ,,00 11 0000 .CO 16 sooo .00 .0000 .00 ,0000 .00 .oeoo .00 .CO 99 00 4126 TX 172 COMMON LIUlOI'!&R 􀀱􀀯􀀲􀁜􀀧􀀱􀀯􀀲􀀰􀀰􀁾􀀠:1 0\'1 11,0000 .CO 1£ 500e .00 ,0000 .00 ,0000 .00 .0000 .00 .00 99 00 4126 '!"X 172 COMMON lABOUR 1/21/2005 :2 , 00 11. 0000 6.00 16 5000 .00 ,0000 .00 .0000 .CO .0000 .00 .00 121 00 £M?LO'rEE 69213 TOO'ALS; HOURS 46,00 .CO .00 S)9" 00 EMPLOYEE DATA ,ROWlli SUSMO 55 NUMBER 638012496 MARITAL STATUS, 2 EXEMPTIONS, )'628 RUIOO5A I'Ml?LO't'EE NO. 69n.6 tlM'4 "2!0l.!0!t U,2"1,S6 1/:<:;/1.15 CERT P/R ARCHER WESTER.."; CONT:ItACTORS, lito. CER"rlFIED PAYROLL PROJECT PAGE: 13 929 ;.; ADAM5 STItEn W1i!E!K £NDrnG Arapaho Road Phase III 2/23/05 CKtC1I.GO, IL 50607 JOB NlJ'M'SER, 21.14059 􀁬􀁩􀀧􀁴􀁯􀁬􀁾􀁴􀁯􀁮􀀺􀁅􀀠DATA M. SS mMBER 618053165 MARITAL S"rATUS, 1 EXEMPTIONS, 5eM""' '""'" 1l:J.3: WESnUDGt A JI1ol!?LOYEE: NO,' 69863 FORT WOR'l'H, TX "lGU6 £nill1C CODE S CHECK utrMI:IERS, 265606 617/7>2-:2"157 'EX MALE lURE DATE 01/2010l N/T GROSS TAX GROSS F,I."r, FICA{HIj VICA (QASDI) 5.D.I S.U.I. STATE TAX CIn TAX CNTI.' TAX UNION DED. MISC. OED. NET PAY .00 505.00 13.43 30.57 1,15 ,00 .00 H.' ,00. II.. Il'" OCC(J?, WORK CLASSIFICATrON DATE lHR1RT2MR RT 8R R'1' 4 RR .. litT 5 MR 5 RT PAY COPE VACATION EARNINGS 4126 TX 1"12 COMMON LABORER 1/11/2005 10.00 10,0000 .00 15.0000 ,00 20.0000 .00 .0000 .00 .0000 .00 ,00 100,00 4126 TX 172 COMI«m lABORER 1/18/2005 10.00 10.0000 ,00 15.0000 .00 20.0000 .00 ,0000 .00 .0000 .00 ,00 100 00 4126 TX 212 COHHON l.ASOREH 1/19/2005 2005 10.00 10.0000 ,00 15.0000 .00 2(LOOOO 00 ,0000 .0000 .00 .00 􀁾􀁯􀁯􀀠00,"4126 TX 172 COMMON LAIlORER 1/20/2005 9 00 10.0000 .00 15,0000 .00 2(1.0000 .11 ,0000 .H ,0000 .00 .00 90 00 4126 TX 1"12 COMMON :tJ!I.l!IOR.£R 1/21/2005 1.00 10.0000 7 00 15,0000 .00 20.0000 .10 .0000 .•0 .0000 .00 .00 􀁾􀁾􀀵􀀠00 EMPW'tEE 69863 TOTzu,s, MOORS 4"1.00 ,01 .00 505.00 Dm AMNT DEO\..lC'l'ION DESCRIPTON 12.00 1255 ItMPW'fSE DATA CHAVEZ ()IW{ SS If'J!028 E'I'ltNIC CODE, 5 CHECK HUM.8£RS, 265620 S17/H7-56115 SEX MALE H:ru DATE 10/n/0) NIT GROSS TAX GROSS F,I,T. FICAjHI) FICA(OASDl} S.D.I S.O,I. STATE TAX <= TAX O'IUOO DEO, MISC. OED. NET PAY""'" TAX =. .00 aaO.75 61.30 SOl .1.3 l2.19 .00 .00 ,00 .00 ,00 .00 40.00 71.5.13 WORK ct.ASsr""ICATION OATE lHR1RT2HR RT HR RT " HR 4 RT 5 Rft 5 RT PAY CODE VACATION IUUUUNQS 4153 TX 16£; FORMS Sh'1TER 1/17/2005 lQ,OO 13.0000 00 19,5000 .00 ,0000 .00 · 0000 .00 ,0000 .00 .00 1.)0 00 4153 T.X 166 roRMS SETTER 1/l5/2005-lO 00 1:1.0000 , CNTY TAX UNION OED, MISC. OSO, NET l?AY 􀁾􀁾􀁾􀁾􀁟􀁷􀁷􀀠,00 $13.00 36.88 49 .66 UR"" ,""",. H_I' ft•.•, OCC\}P. !fORK CLASSIFlCATlOU !>ATE RR 1 U 2 HE 2 ft 3 n R.T '), Hi: 4. RT 5 HR 5 RT PAY COOl> VI\CAT:.tON EARNINGS 4lJ5 1'X 3!i9 LOlWER OPERATOR 1/17/201.15 10 00 12.0000 ,00 lS 0000 _00 ,000(; ,co .0000 ,GO 120,00· 0000 ," ," , " ," -" ," , ..4115 n: 3iS9 L01U'I£R OI?ERATOR 1/18/2005 10 OQ 12 . 0000 ,00 18 0000 ,(j000 · 0000 .aooo 120,00 4135 't'X 369 LOAn£R OPEV.TOR 1/19/2005 11 00 12 0000 .00 U 1.1000 .0000 ,00 · 1.1000 ,0(1)0 ,GO .. 13.2 00-" 4135 't'X 369 􀁌􀁏􀁾􀀠OPERATOR 1/20/2G05 '9 00 12 0000 150 18.0001.1 " , GOOD .0000 ,co .1'101)0 ,00 lUL 00 4135 't'X 369 LOADER OPE1lI:ATOR 1/n/2005 ,00 1'2 OQOO 9' 00 18,0000 .0000 .0000 .0000 ,co 162.00,"," ,"," , .. ," , " 4135 "IX 369 LOAnER OPERATOR 1/22/2005 ,00 12.0000 !i. 00 16,0000 -co .0000 .001.10 .0000 ,00 _co 144,00," ," EMPLOY££' 94"1)2 'l'OTALS i HOURS sa.50 ," , .. ell ,00' Dell l\l1NT DE:DtJC'7'ION OESCRIP'rON 12.00 12SS Me!?2S'4 "2/01/0!J 11,27;5 PAYROLL PROJECT PAGE 17 929 W AnlMS Sl'ltEET WEEK :s:ND!NG Arapaho Road Phase III 1/2)/05 C1IICl>.OO, XL 􀁾􀀰􀁾􀀡􀀩􀀷􀀠JOB NUMBER.. 2Q4C59 EMPLOYU DA....Ao BROWN TERRY L< S5 mJMSER 437239659 MARITAL STAres, 2 EXEMPTIONS, , 10H SAeRINJ:> OR1VE b"MI?LOYEE NO.' 94'154 MESQUITE, 1:'X 75149 EnlNIC COPE :a CHECK N'l.1M5ERS, 2GSG02 972/2S9-tiS92 SEX. MALE HIRE DATE 0:9/09/0" NIT GRoSS TAX GROSS .00 G95,SO OCCUP< WORK CLh$SIFICATION F,LT. 25,55 FICA{HI} 40,64 DATE FICA [OASPlj 9,50 lHR1RT S.D.! S.U.!. STATE TAX ,....,Q E I 􀁾􀀠3 􀁾􀀠4 􀁾􀀠CZTY TAX H itT 5 HR CNT'( TAX UNION DED. MISC. OED, NET PAY .H" _.U "'.A 5 itT PAY CODE VACATION CAIU1INOS 4139 41)9 40139 41)9 4.l39 1:'X 1:'X 1:'X TX TX 205 pIPELAYER 205 P!P&l.oJI.'t'lI."lt 205 􀁰􀁸􀁰􀁥􀁾􀀧􀁴􀀧􀁥􀁒􀀠20.0, ?lPSLAYER 2:05 PIPELAYER 1/1'1/2005 1/181200s 1/191200$ 1/20/2005 1/21/2005 10 00 l;,l. O'QQQ 9 SO U (lOCO 950 13.0000 lQ 00 1.),0000 1.00 1l.0000 .00 ,\')0 .00 .00' 9.00 )JL5000 19.5000 19.5000 19 5000 19.5000 .00 ,00 ,0.0. .00 .00 26..0000 26.0000. 26,0000 2'; 0000 26.0000 ,Ie <00 <00,"," .0000 .0000 .(l000 .1)00\') .0000 <",",DO .c. .DO .0000 .0000 " (1)00 .0000 ,0000 TE TAX CITY TAX CN'1'\' TAX UNIoN tl!;o. M:rSC, OED. NET PAY OCCUl", .00 'rOll. on WORK CLASSIFICATION 34.49 41.004 DAT. 9,60 .00 􀁾􀁬􀁒􀁔􀀲􀀺􀁈􀁒􀀠RT ,"HR RT ,on " HR 4 RT .00 5 HR 5 .00 R'l' PAY CODE ,00 VACATION 4000 EARNINGS $76.$"1 4139 1:'X 205 P.t?E:I...I>YER 1/17/2005 10,00 13.5000 ,00 20.2500 .OC 27 0000 ,01 .0000 ,co , r.lOOO <01 YER 205 PIPEI...I>'iER 1/19/200S 1/2012005 1/21/2005 9.00 9.00 1.00 13.5000 13.5000 1),5000 .00 .00 6.00 20.2500 2(1.2500 10.2:S{;O .00 <00 ,00 2'1,{>00(1 2"1,0;;00 27 OQOO <01 ,00 ,01 .0000 .0000 .0000 .00,",co .0000 ,0000 .0000 ,GO ,GO .01 ,II ,II ,co 121.50 121,50 1"1,5.50 EMPLOYEE \'14156 TOTALS: MOtrES 4S,0(1 .11 4 llOl/OD 11,;:7,55 :1/23/05 CElt'!' P/R ARCHER W£5'I'n.N CONTRP.CTQRS, LTD. C S R T I F I 5 D P1\YROtd" PROJECT PAGE 16 929 Ii ADAMS STRF;ET WEEK ENDING Arapaho Road Phase III 1/2)/05 CHICAGO. U 60607 JOB "'UMBER.. 2040$9 EMPLOYEIi: tIIITA TREVIZO JR MACLOVIO SS NUMBER 􀀢􀀧􀀶􀀺􀀱􀀱􀁾􀀢􀀧􀀱􀀲􀀵􀀠MARITAL STATUS, 1 EXEMPTIONSl n ... 2 􀁋􀁾􀁏􀁎􀁄􀁉􀁋􀂣􀀠EMPLQ't5E NO. 94752 OALloAS, TX 7sna E'I'iiNIC CODE M CHECK truMBERS: 165643 2'14/u9-70:l1$ SF-X !>'ALS HIRE 􀁾􀁔􀂣􀀠09/0&/04 NIT GROSS TAX GROSS F,l,T, l11o\'(H1) FlCA!OA$OI) S,tLI S.U.I. STATS 'TA.X CITY TAX CN"l'Y TAX WION OED. MISC. OED. NeT PAY .00 1,:164.50 94.6<1 C9,7l 16 31 .00 ," .GO "00 .H .a" _ •• OCCUP. 􀁾􀁬􀁏􀁬􀁕􀁜􀀠CloASSIFICATlON DATE 1 AR 1 RT 2 HR 2 RT Hit 3 RT HR RT 5 fiR 5 RT PAY COOE VACAT1.ON EARNINGS 4140 TX PlPE 􀁲􀁯􀁾􀀠1/11/2005 10.50 17.0000 00 25 5000 .00 34.0000 , .. .0(1(10 ... .0000 .., ... 118 50 43.40 TX PIPE: FOlUW.AN 1/la/2005 :10.00 17 0000 .00 15 5000 .00 34.0000 ... .0000 ... .0000 .a, .00 170 00 4H.O T.X PIPS FOREMAN 1/1/19/2005 10.00 11 (!(l(lO .00 25 5000 .00 34.0000 .GO .0000 .GO ,0000 ... ... 170 00 4HO TX PIPE FORtMAN 1/20/2005 9.50 17 OQOO 1,00 15 5000 .00 31.0000 ,00 ,0000 ... .0000 ," ,GO 18? 00 4140 n: PIPE FOReAAN 1/21/2005 .00 17 0000 10,00 25 5000 .00 34.0000 .0000 ... .0000 255.00." ." .0' 4140 T.X P lS"E rolttMAN 1/22/2005 .00 17.0000 6.00 25.5000 .00 34,0000 .GO .0(1(10 .no ,0000 ... 104..00." EMPLOYEE 94752 TOTALS: !lOURS 59.00 .00 ," 1,:164.50 oeD AMNT tlSl.mCTIDN O£SCRIPTON 40.00 125S EMPLOYEE PA TA VlWENT!t: DOMINQ SS NUMBSR 􀀲􀀨􀀷􀀩􀀩􀁾􀀲􀀴􀀰􀀠"'.ARITAL STA'I'OS; 1 EXSMP'l'IOIlS;'''''''' 2712 BEU'mILL EMPLOYEE HO.· 􀁾􀀴􀀷􀀵􀀳􀀠FORT WORTH, T.X 76105 :o."'TIlNIC CODE 1 M CHECK NOMnh:RS, 2551$)1 81.7/535-7929 SEX MAt.:E HIRE DATE 05/09/04 NIT GROSS TAX GROSS F.I T, FlCA!!lIj FlCA(OASDI) S.O.l S.U.l. S'!'AT.i! TAX CITY TAX om' >AX \.I"lON OED. MISC. D&D. NET PAY 􀀬􀀭􀀭􀀭􀁾􀀭􀁾􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀭􀁾􀁾􀀢􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀀭􀀢􀀭􀀭􀀭􀀮􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀀭.00 110,00 1.07.40 45.25 10 59 .00 .00 ," .NII .00 "M _ .•• OCC\JP. WORK CLASSIFICATION .DATE :1 fiR 1. RT fIR RT l III'{ aT ., HR RT 5 NR 5 RT PAY CODS VACATION Ii!JU 00 , " .. 4:1.39 "l'X 205 l'IPSL1\,YER 1/=<10/2005 e 00 lA 0000 .00 11 0000 .00 26.(1000 .0000 .00 .0000 133 00." 4B9 "l'X 205 l?lPELAYER 1/21/2005 .00 :u 0000 9.00 210000 .00 28.0000 ... .0000 .0000 .00 .00 1U 00." El-\PLO'fEE 1H 7 5 3 TOTALS; aoURS 50.00 ,GO .00 110.00 DED AWn' DEDUr.:."T1ON D£SCRIl"l'ON 40.00 1.255 ••• ••• MCP2S4 '2";01/05 17,27,56 l/2J:/O$ CElt'!' ?/R oMCliER WESTI.':FUf CONTRACTORS. LTCI. C E R T I F 1 􀁾􀀠0 PAY!'OLL PROJECT lIMR 18 929 W ADAMS STREET WEEK 􀁾􀀢􀀧􀁄􀁉􀁎􀁇􀀠lIrapaho RQad Phase III 1/23/05 CHICAoo. IL 60607 JOB NUHSER. 204059 E'MPI.,On;S DATA DOMlN'QUE:Z A.AAANDO ss 􀁾􀁥􀀡􀀧􀀠(;34142079 MARITAlt STAT'QS, :1 EXEM1l'1"l:O¥S, 2112 BERR'! RILL EMPLOYEE NO.' 94160 FORT 􀁾􀁏􀁒􀁔􀁋􀀬􀀠TX 16105 ItTIlNIC com: M CIitt!( NL"MBER S : 2U612 $111535-1929 SEX AALE HIRE DAn.; 09/14./04 N/T GROSS TAX GROSS F.I.T. Fl.CAU1I} FICA (OASDIj S.D,l S.C, I. STATE TAX CIn TAX CNTY TAX WION DED. MISC, OED. NET PAY .1'10 754.00 6!L09 46.00 1() 7.fi .oo 00 .H""" gOO 'UU occu,. iro:Rl\ Cl..ASSIFICATION DAn 1UR1RT Hit RT HR 1 RT of HR 0{ JtT 5 HR 5!'T PAY CODE VACATION EARNINGS 4136 TX H2 BAClQIOS OPEM.TOR 1/:11/2005 10.00 14 5000 ,00 21.1500 .00 29.0000 .00 .0000 .00 .0000 .DO 14S.00 4116 'l'X 3-42 BACKHOE OPERATOR :1/18/2005 11,00 14 5000 .00 21."500 .00 2!L 0000 .oo .0000 .00 ,0000 .DO lS9.50 U)E,: 'l'X 3-4.2 BACKHOe: QPERATOR 1/:19/2005 9.0(: H.5eeo ,00 21.1500 .GO 29.0000 .00 .0000 .00 .cooo .oo .CO 130 50 4136 TX 342 BACKHOE OPERATOR 1/20/2005 900 14,5000 _00 211500 .GO :i:9 0000 .00 .coee .DO .00ot. .00 .00 130 50 41)6 TX 342 &ACKltOE OPEAA1'(YR 1/21/2'005 1.00 11,$000 $.00 21 1500 .00 29.0000 .00 .0000 .00 .0000 .00 .DO laS 50 EMi.»"....Q'fi:£ 94160 TOTALS: HOUit$ 4!1.00 .00 .DO 754.00 DW AMNT DEDUCTION DE:SCRIll'1'ON .l.2.0() 125S EMPLOYEE DATA RAMIREZ ERNESTO BE NUMBER 451994707 MhRI'11>L STATUS, :i eXEMPTIONS, 2826 CAH8EfU'tA S'l1!.E:ET EMPLOYEE NO.: 94929 DALLAS, 'l'X 75224 EnmIC CODE l 􀁉􀁾􀀠CHE;;K NUMBERS \ 255632' 􀀲􀀱􀀴􀀯􀀹􀀱􀀲􀁾􀀤􀁊􀀲􀀱􀀠SO: ; 􀁾􀀺􀀢􀀧􀁅􀀺􀀠HIJU> DAn; a/131M N/T GROSS TAX GROSS V.I.T. FlCAIHIl FICAIOASOI) S.D.I S.O.1-STATE TAX CITY TAX CN1'Y TJO< UNlOO OED. MISC. DED. NET I.'AY ..,,00 1,14$,00 107.39 71.1S 16.55 .00 00 .00..00 .00 952.78 OCCUli' • WORK CLASSIFICATION DATE fiR 1 R"t HR 2 RT HR 3 RT HR 4 RT 5 HI' 5 RT PAY CODE VACATION 1i!AAN1NCS 4.135 T'X l69 LOADER OPERA'tOR 1/17/2005 11.00 14.0000 .00 n,OOoo .00 28.0000 .oo ,0000 .00 .0000 .00 .00 154.00 4135 'l'X n:s LOAnER oPERATOR 1/1S/lGOS 14,50 11.0000 .00 2).,0000 .00 2$,0000 .00 .0000 .00 .0000 .00 .oo 2(lJ.00 41)5 T'X 369 LOAJ)h"R OPERATOR 1/19/2005 13.00 14,0000 .00 n 0000 .00 2S.0000 .00 .0000 .DO ,0000 o. 182 00." 41)5 T'X )t;» LOAnER Ol>ltRATOR 1/20/2005 1,50 14.0000 9,00 n OOGO .00 28.0000 .0' .0000 .oo "0000 .00 .DO 210.00 41)5 'l'X 3-69 LOADER OPE:AA'rOR :1/21/2005 .00 14,0000 10.50 21 0000 ,00 28.0000 .00 .0000 .00 .0000 .00 .00 220,SO 4135 'l'X 1n LOADeR OPEAA'l"OR :1/22/2005 .00 :14.0000 8.50 21 0000 ,00 2a.OOOG .00 .0000 .00 .1'11'100 .co 17S.50." EMPt.OYli:E 94S29 TOTI\LS, HOURS 69.00 .00 .DO 1,148,(]0 MCP2$4 2/OO1/0S '11,27:5£ 1j23/05 CERT pjR ARmSR WF-STE'RN CONTRACTORS, L'lD. CERTIFIED PAYROLL PR.O J E: C T PAGE: l' 􀁾􀀲􀁾􀀠;( APAMS STRF.€T WEE;'; SNOL'IG Arapaho Iload Phase III 1/23/05 CHIOlOO. 11, 61>01;07 JOB NUMBER, 204059 EMPLOYEE DATA MOAALSS PEDRO stJRGOS SS NUMBER S9!H'''5S90 MAIUTAL S'l'jj,ros, 2 €X£MM'IONS; 612 E1\ST STH APT C EMll'LOYEE HeL 94S3, DALLAS, 'l'X 15201 :e:ntN:!C COOE 1 M CHECK NtWlliIERS, 2..5627 􀀲􀁬􀀮􀀱􀀯􀁾􀀴􀀲􀁾􀁕􀀰􀀳􀀠SEX MkJ..E lURE DATE J0/19/0 43 .CO .00 .• .00 .00 .00 .00 575.21 OCCUP. WORK CIJI.SSIrrCAT:r;ON 1 lIR 1 aT 􀁾􀀠2 􀁾􀀠I lIR 3 ft 4 􀁾􀀠R'I' 5 1111. 5 RT PAY CODE VACATION E.lUW!NGSWI"" <1139 'l'X 2135 PlPELA'lSR 􀁾􀀯􀁬􀀱􀀯􀀲􀀰􀀰􀀵􀀠U 50 􀁾􀀲􀀠5000 .00 U 7500 ,co 25 0000 .CO .0000 .00 ,0000 .CO .00 143 75 4133 n:: 205 PIPELAYEft 1/18/2005 14. DEl 12 SOOO .00 U 1500 .00 25.0000 ,CO .0000 .0' .0000 ,00 ,GO 115,00 un "1"X 205 PIPEIJI.YER 1/19/2005 !2 51) 12 5000 .00 111 1500 25.0000 .00 .0000 .co .0000 .00 151i 25 , " ,"4139 1')( 205 l'IPi:IJI.'{ER. 1/2:0/2005 >00 12.5000 8.00 lS 1500 ,00 25 0000 ," . 0000 ," .0000 ," ,00 175.00 EMPLOi.'if:5 94836 1'O'l'ALS: lIOURS 46.00 .00 .00 650.00 MCP2S4 , 2/01/05' 11:2"1,$6 1/::i:3/05 CEltT p/lI: ARCHER 'WES't'£1tN CON"l"RAC'l'ORS. L"!'D. CERTIFIED PAYROLL PROJECT 1'1lGS 20 9:2 9 W ADAMS STREET "EEt: ENDING M:apabo Road Phase III 1/2l/05 CKIChGO. lL 60607 JOB NUMBER. 204059 EMPLOYEE OATA JOSE GtJIi.D,I\.Ltn:'E SS li'tJMEIER 632724826 MARITAL STATUS I 1 EXEMrrlONS, , WOOD .eM!'LOYEF. NO. 946;)' DALLAS, TlC 75224 EnlNIC COtlE M CHECK m1MSERS, 265640 S7:2/2'1!1-02"1S 'EX MALE H1JtB DATE 10/19/04 NIT GROSS TAX GkQSS Lt,T, FlCA.{Hl) FICA (OASDI) D.I S.U.I, STATE TAX CI'l"'! TAX ctm! TAX UNION DED. MISC, DEO. NE"l" PAY """"""3030 SHADOW DRIVE .00 650.00 64.62 40.30 ...., .N .01.1 .00 .00 ,00 $)5.75 OCCU!,. WOAA CLASS! FlCA.TION nATE 1 U 1 ft 2 􀁾􀀠H 1 AA ;IT .",.. RT S lilt 5 itT PAY CODE VACATION EARNINGS 4139 TX 205 PIPELAYER 1/11f;!OOS 11.50 :.2 5000 .01> 111.7500 .00 25.0000 .00 .0000 .00 .0000 .00 .00 10.15 413.9 TX 205 I:'IPElAYER 1/19/2005 :'4 00 12 5000 .00 19,7500 ,00 25.0000 .00 .0000 .00 ,1.1000 ,GO .00 175.00 4139 TX 20S !'lPELAYER 1/:'9/2005 12 SO 12 5000 .00 18,1500 ,1.100 15,001.11.1 .00 _OOM .00 ,0000 .00 156,2$." .uu TX 20S PI!'F.LAY£R 1/20/2005 , 00 12. !>OQO a.oo 18."1500 .00 25.0000 .00 .00000 .00 ,00000 .00 .00 175.00 EMPLOYEE 94839 'l'O'l'ALS, HOlmS 48.00 .11 .00 G5(LOO £Ml'LO'iEB DATA SMCltEZ RJUJL S5 N\.IMVER 63176HiOo MARrI'M, STATUS' :. EXEMPTIQHS, 3030 SHAOOW WOOD DR1VE: EM!'LOYEE NO.1 S'I8.40 DALl.Jl,S, TlC ?!>:224 £11UfIC CODE, M CUSCK Ni.lMBERS, 265(141 214/942-0096 SEX 􀁾􀁬􀁩􀁉􀁌􀁃􀀠RUlE DATE 10/19/04 N/T OROSS TAX GROSS F.I.T. FICA/HI) Hel\ (OASDIi S,O.1 S.U.I, STATE 'l'AX CXTY TAl< Ct<1"/'l'AX ONION D£l), MISC, OED. NET PAY ,00 !l22.25 155.47 57.1$ 1J )7 .00 .00 ,00 􀀶􀀹􀁾􀀮􀀲􀁊.".. .. OCC'ti"l", WORK CLASSIFICATION DATE HltlRT2HR2RT HR RT 4 Nit " itT 5 Hlt 5 RT PAY COPE VACATION ,£ARNINGS 4140 TX PI!'E FOREMAN 1/17/2005 11,$0 11 0000 .00 25 $000 .00 ).oj ,0000 .00 ,0000 .GO ,OOM .00 .00 19S SO 4140 '!'X Pl.!'E FOREWIN 1/13/2005 14,0 17.0000 .00 25.5000 .00 ).oj .0000 .00 ,0000 .M .0000 .00 .00 2410 50 4140 TX l'TPE FOREMAtt 1/lS/200$ 13,00 17 0000 .00 25,5000 ,00 34.0000 .GO .0000 .00 .0000 .GO .CO 1:.ll.00 4140 TX l'Tli'E 􀁆􀁏􀁒􀁾􀁬􀀼􀀠1/20/200$ 1.O{) 17 0000 :> 50 25 5000 ,00 34,0000 .GO .0001.1 .00 .0000 .00 .00 259 :a EMPLOYEE 94840 TOTALS, HOURS 49.$1.1 .00 .00 922,25 MCP254 2;01/05 􀀱􀁬􀁾􀀲􀀷􀀬􀀵􀀶􀀠1/23/05 CERT P/R AAClI€:R WESTERN COH"!'RAC'TORS, LTD. CSP.TIFIE:D PAY R 0 L t PROJECT IAA$ 21 929 W 1I.!)JUvffi STREET WEE)!, ENOING Arapaho ROad 􀁐􀁨􀁾􀁳􀁥􀀠III 1/23/05 CHICACO, IL 60601' JOB NUMBER. 204059 EMPLOYEE Ul4.TA LOPEZ JOSE ENRIQUE SS NV"MSER 630090779 MARITAL STATUS, :1 EXEMPTlONS, 3022 SHADOW WOOD DRIVE £MPW'IEE NO.' 9-i&41 DALlAS, TX 75224 E11JNIC CODE M CHECK tlUmlSRS, 265622 214/946-8301 SEX MA!.Ji! HIRE DATE 10/19/04 NIT GROSS TAJ( GROSS F.1.'r. FlCAIHI) l"ICAiOASDII S,D.I S.U.I . STATE TAX CITY TAX CNTY TN< t1NlON DED. MISC. OED. Nl."'r PAY . 00 719.00 69.2) 4).96 10,2$ ,(10 .n .00 .00 40.00 585.52.,'"OCt.'UF. WORK CLASSIFICATION DATE 1 HR R'r 2 KR RT RR 3 RT lUt 4 RT S lUt RT PAY CODE VACATION AARNINGS 41:)6 TX 342 SACKllOE OPERATOR 1/17/2005 H 50 l4..00M .00 :n.0(l00 .00 :<:6.0000 .0000 .0000 .,. lS1.01l." ." ." 4136 TX 342 BACIUIO& O"ERATOR 1/1S/Z005 14.50 14.0000 .00 21.0000 ,00 :<:8.0000 .0000 ,0000 .CO .00 20;1.00." ." 41H TX 342 DACKHCS OP£AA1'OR 1/19/2005 12 00 14.0000 .00 21.0000 ,M 28.0000 .GO . 0000 .CO ,0000 .,. 183.QO 4131> TX 342 BACKHOE: OPEAA';'OR 1/20/2005 1.00 14.0000 9.00 21,0000 .0026,0000 .0000 ... .O()OO .CO 20;1.00." .,.." S;MPWYEE: 94 B41 TOTALS r HOURS 49.00 .,. .00 749.00 OED AMNT DEDUCTION DESCRIPTON 40.00 12SS EMPLOYES DATA CRUZ JESSE 5AN'l'A 5S I'lt)MBER <15969913137 MARITAL STATUS, 2 􀁅􀁘􀁅􀁍􀁐􀁔􀁬􀁏􀁏􀁓􀁾􀀠1511 HORS£WJ\Y DRIVE: Al"!' 1202 EMPLOY?£ NO.' 94a5a ARl.IN1JTON, TX 76012 ETHNIC CODE S C1U'!!C'!{' NUMBEICS: 265610 817/795-3775 SEX MALE HIRE DATE 10/25/04 NIT GROSS TAX GROSS F.I.'r. FICA!HI) FICA{OASOI) S.D.I S.U.I, STATE TAX CITY TAX om TAX UNIoti DED. MISC. DED. liET PJ\Y 􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀀭.ot> 98$,\')0 la.OJ 61.26 14.33 .00 " .n ." .HM .00 864.36 OCCQP, WORK CLASSIFICATION DATE lHR1RT2lUt RT lUt 1 RT 1. RR 4 RT 5 HR 5 RT PAY CODE: VhCATION Jl:J\R.NINCS 4137 'rX 342 ClU\!iE OPEAA1'OR 1/17/2005 11.1.50 19.0000 .00 28.5000 .00 J8 0000 , 0000 .0000 .,. .CO 1?? 50." ."41)7 TX JLOYEe PATA OO1'IeRREZ F£RW\NDO SS NtJ}II!b£R 4537S89Z1 MARITAl, STA'l"tfS, 2 RX£Ml'TlONS: 5909 CONVEYOR DRIVE EMPLOYE& NO,' 65019 CLEatmNE, TX 76"0;>1 EniNIC CWE S CfiJi:C)( N\'.llI1:ilERS: 264Ul 􀀸􀁬􀀮􀀷􀁮􀀹􀀰􀁾􀀰􀀻􀁮􀀹􀀠'" MALE IIIRE: DATE 01/23/95 N/'! GROSS 71\X Gl'tOSS F I.T. FlCA{HI} FlCA(OASOI) S.D.I S.U.I. STATE '!'AX CITII 'l'.IIY. Clfl"l( TAX UNION DED, M!SC, OED. t."ET PAY .00 1.256.36 15J..34 77.69 18 22 ,00 ," ," .00 .00 .00 ,00 1,008 91 OCCVl' , WOliK CLASSIF!CATION DA'" 1HR lin' 2m!: 2RT HR l RT HR RT 5 HR 5 In' PAY CODE VACATION £ARMINGS 4127 'I'X WEEKLY FIELD LAeOR£R FOREMAN 1110/2005 10.00 18.7500 .00 26 1)00 ,eo • COOO ,co · 0000 ,co "0000 ,00 ," la1.50 4:t2:'? TX Wl:::EKJ,Y FlELD t.AOORER FORtMAN 1/11/2005 10.00 18,7500 .00 28 2300 ,eo .0000 ,eo · 0001;) ,co .0000 ,CO 187.50187.50,"4l:n TX W&&KLY FIELD tJiOORZR FDREMJ\.N 1/12/2005 9.00 18.7500 ,OQ 28 HOO ," • QOOO ,eo , 0000 ,co .0000 ,CO ," 168. IS 4127 'l"X 'WEEKLY FIELD !.rJ\BORER 􀁆􀁏􀁒􀁾􀀠1/U/2005 :to. 50 :tB. 7500 .00 28.1300 ," ,0000 ,eo .0000 ,DO .0000 ,CO ,GO 196.8S 4;1..27 'l"X WR£KLY FIELD t.ABORER roREMAN 1/14/2005 .50 1$.7500 9 50 28 1300 ,00 ,0000 ," .0000 ,DO · 0000 ,aD ,GO 276,62 H27 TX WEEKLY FlELO LAeoRER roJU::II.AN l/lS/2005 ,ao 18.7500 a. 50 28 13011 ·0000 ,DO •0000 ·eooo ,eo 2)9,11," ," 'co EMPLOYEE 65019 TOTAl,S t HOURS 58,00 ,M ,eo 􀁬􀀬􀁡􀀵􀀶􀀮􀁾􀀶􀀠EMPLOYEE DATA MAR'1'l!f£Z J ROSARIO SS NUMBER 538163734. MARITAL STATUS, 2 EXEMPTIONS, • 3207 OE;Sli EMPl..oYEE NO.' 65026 FORT woane TX 75106 ET"rlNIC CO!).. S CHECK NUl'$E:RS, 2;)44)9 817/626-4253 SEX MALE lURE M'l'E 01/30/95 NIT GROSS TAX GROSS F • I.'!. FICAHIl} l"lCA{OMbI) S.D.! S,U.I. STATE TA:X ClTII TAX CNTY TAX tJNION [$0. MISC. IlED. Nb'7 PAY .00 1,00S.00 33.79 59.63 111.99' ,00 ," .00 .00 .00 .00 4() 00 a.57,H OCCU!?, 􀁾􀁏􀁒􀁋􀀠CLASSIFICATION OAT!! lEft RT :JUR 2ftT u. RT HR • RT 5 HIt 5 RT PAY CODE VACATION &AlUI'INGS U15 TX )69 LDADER OPERA"t'OR 1jlO/2005 10,00 15 0000 .00 22.5(01) ,DO , 0000 ,co · 0000 .0000 ,00 ,00 150.00,"4115 n; 369 l..01IDER OPERA"t'OR 1/n/2co5 10, 00 15 001;)0 ,co 22.5000 .0000 ,00 .0000 ,oa .0000 ,00 ,GO 150.00 4135 't'X 369: LDJ\DSR 01>ERA.TOR 1/12/200S 10 00 15.0000 ,00 22.5000 ,"" .0000 ,eo .0000 ,GO ,ooon ," ," 150,00 4135 TX )69 LOMJER OPSRATOR 1/U/2005 :to 00 15,0000 ,00 22.5000 ," ,0000 ,eo .0000 ,GO ·tioeo ," ," lSO.OO 4135 TX 369 LOADER OPERATOR 1/1412005 .00 15.0000 10.00 22 5000 ,00 .0000 ,CO · 0000 .0000 ,eo ,00 125.00."41ls 't'X )69 LOADER OPImA'rOR 1/15/2005 .00 15,0000 a,oo 22.S000 ,DO •0000 , 0000 ,00 .()(l00 ,00 HlO,OO," ," EMPLOYEE 65026 TO'mLS; 1i000S sa.oo ," ,eo l,OOS.OO om AIiNT DEOOCTlON D£SCRlI'TON 40.00 1255 . MCP2S4 2/01/05 11;23,13 1/16/05 CERT pia MellER WSSTEltM co:<7RAcrORS, tl!'D, C E R T I F XED PA':CROr.L PROSECT PAGE 929 W" ADAMS S't1UEl' HEEl\. E:ND.INC Arapaho Roar;;. PhaSe III 1/16/CiS CHICAGO, Xl. 6OG07 Joa NUMBER. 204059 DWLOYEF. DATA RICO AN"l"ONIO SS NUMSE:R S57S83412 MARITAL ETA'1'O$, 1 SX;SNI"TIQNS; '* 1017 TOLAND EMPLOYEE NO. GSCi3S J.'.).I\l,LAS, 'I'X 75227 £TI{NIC COOE 5 CHECK NUMBERS, 264Ug. 214/:75-0649 SEX MALE HIRe DATE: 02n7/95 Nh GROSS "TAX GROSS F.l.T. FICldHII FIo.(OASOXl S,D.I S.t!.l. STATE TAX On' TAX CNTY T>X UNION DED. MISC. OED. Ua'T PAY ,00 851.50 76.28 52.7g. 12. J5 ,00 ••0 ,00 .00 .00 .00 .00 710.08 OCt.w. WORX CLASSIFlCATION DATE Hilt 1 RT HR fl.T HR ] 􀁾􀀠4 􀁾􀀠RT 5 HR 5 RT PAY CODE "llJI.CI\TlON """"'OS 􀁕􀁾􀁇􀀠n 172 COMMON lJIB01U';1It 1/10/2005 10.00 n.Dooo .00 19.5000 .00 .0000 .00 .0000 ,00 ,0000 .00 ,00 130.00 4126 n 11'2 COMMON !.J\.SORER 1/11/2005 10.00 13.0000 .00 19.5000 ,00 .0001,'1 ,00 .0000 ,00 .0000 ,00 .00 130.1,'10 4126 n;: 172 COMMON tA80RER 1/12!200!i 9.00 1),0000 .00 19.5000 ,00 ,MOO ,00 .00CO ,00 .0000 ,co .00 117.00 4126 T'X 172 COMMON W>.BOrrER. 1/n/l005 lO.DIl 13.0000 .00 19.5000 .00 .0000 .00 ,COOO ,00 ,0000 ,00 . 00 130.01,'1 4126 T'X 172 COMMON r.ABORER 1/14/2005 LOCi 13.0000 S.OO 1!L5000 .00 ,0000 .00 .0000 .00 .0000 .00 ,00 188 5D 4l2C 'I'X 11'2 􀁃􀁏􀁍􀁍􀁏􀀮􀁾􀀠lJIBORER 1/lS/2005 .(IO l:J:.0000 8.00 19.5000 ,00 .(lOOO ,00 .0000 .00 .0000 ,GO .00 156.00 EMPLOYEE 65018 TOTALS, HOURS 57.00 ," ,00 851,SO EMPLOYEE DATA SANCKEZ ROlANDO SS NUMBER 450S98464 MA.f!1"TAr. STATUS, 2 EXI::M'PTICHS; 5 32 OS DEE:N ROAD ENPr.OVEE NO.1 65098 FORT WDR'l1f, 'l.'X 7610" ETHNIC COOS 5 CHECK NUMI}f;;R$: 264456 &17/626-0405 SEX MLE 1!flU: DATE Cl/22/96 ti/T GROSS TAX GROSS 1'.1 T. nCA{HI) FICA. (OASDI) S.D. I S.U.I. STATE 'l'AX crT! 'l:nx CNTY TAX UNION DEIl. IUSC. OED. N1ST PAY .ce 815.92 39.12 50.59 ll.83 .00 .00 ,00 .00 .00 .00 ,00 7).4.38 ,",cup, W'ORK Cl..ASSIFICA.TION DR'" 1HR R.T 2HR 2RT HR R'I' 4 HR RT 5 􀁾􀀠5 RT PAY COIlE VACATION tAR."41NGS 41.15 n;: 118 CARPENTER 1/10/2005 10.00 15 2500 ,00 1l.8S00 ,00 .0000 .00 .0001,'1 00 ,0000 ,co ,00 152.50 4115 't"X ll8 CARPEtt1'SR 1/11/2005 10,00 15 25ee ,00 22.9800 ,0' ,0000 .00 .0000 .00 .0000 .00 ,00 152.50 4115 1.'X 118 CARPENTER 1/12/2005 9.CO 15.2500 00 22.6800 .00 .0000 ,00 .0000 ,00 .0000 ,00 ,00 137 .::5 4115 n ll5 CARPE'N'l'tR 1!U/2C05 10 00 15 2500 .00 22,8800 ,II .0000 ,00 .0000 .00 ,0000 ,00 .00 152. SO • WORK CLASSIFICATION DATE 1M 1RT 2liR 2RT WR 3 1l.T 4 ItR 4 RT 5 1m 5 RT PAY CODE VACATION EAitlf!rtGS 41.1.3 '!'X CARPEl-I"l'ER FORJl:t.'JUl 1./l.o/2cos 11 00 19.5000 .00 a 2500 .00 .0000 .00 .0000 .00 .0000 .00 .eo 21.4,50 41.1.3 '!'X CARPEN'1'£R FOIU,;MAN 1/11/:200$ 1100 H.SOOO .00 292500 .00 .0(1)0 .00 .0000 .00 .0000 .00 .00 .00 a4.50 4113 '0; CARPENTER FOP,i'M/W 1/1.2/200S 11 00 lS. 5000 ,co 29" 2SCO .00 .0'000 .00 .0000 .00 .O(l(l(l .00 .CO 21.4 50 4113 n: CAR!!'£:n'ER FOREWlN 1/13/200S 7 00 19,5000 4. ,00 29.2500 .00 • ()DOO .00 .0000 .00 .0000 .00 .00 251.50 4113 n: CMU"£N':rSR FOltEMAN 1/14/200S .00 19,5000 1.1. 00 29 2500 .00 ,0000' .00 .0000 .0' .0000 .00 .00 32:1. '15 un TX C1\.RPENTJ!:!'! }"OREMiUi 1/lS/2005 .00 19,5000 9.00 l!L1SOO .00 ,000t) .00 , 0000 .00 ,0000 .00 " 263.25 EMPLOYEE (51)9 TOTALS: HOURS ';4.00 .00 .CO 1..482.00 DED AMtn' OEOOCTlON 'DESCRIPTON 12,00 1.2SS £t1Pt.OYSE DATA ,GUERRERO JOSS SS NtlMSEr.R 63489'1879 MARITAL STArtlE: 2 EXEf.1PT1.0N5:". 􀀲􀀹􀁾􀀷􀀠AZT"E AVE EMPLOYEE NO.: 65149 FOin' WORTH. TX '/6l.06 E'TlWIC CODE 􀁾􀀠S CRECK NlJI>ffiERS; 26t430 81'1/62S-2289 SEX MIlLE IiIRE DATE 05/17/96 !'lIT GROSS 1'AX GROSS 1",1.". PlCA(HI) F:tCA!QASDI) S.O.I 5.1.1.1. STAn: TAX CITY ,,;UC CN"TY TAX UNION OED. MISC, P£ll. mi:'I' 􀁐􀀢􀀧􀁾􀀠.00 998.96 57.34 61.,94 14.46 .00 .00 .00 $&5,200000 " ." OCCU$', WORK C1.ASSIFlCATlON tWre 1 1IR RT HR 2 RT HR RT RR 4 reT 5 HR 5 RT PAY CODE VACATION """''''OS 411.S TX 1.18 CAR!'F.NT&R l/10/20C5 10.00 15.2S00 .00 22.SS{l{l .00 .0000 .00 .0000 .00 ,COOO .CO .0' 1.52. so 􀁕􀁾􀁓􀀠TX 116 CARPENTER 1/11/2005 10.00 15.2S00 .00 22.5800 .00 .00'00 .00 .0000 "00 .0000 .00 152. SO ." ." "co 4115 TX 1:;.8 CARPF.NTER 1/1.2/200S 9,00 1.5.2S00 .0'0' 22.880'0 .00 .0000 , 0000 .00 .0000 .CO 1.37 25 4US n: 118 CARPF.NTER 1/13/2005 10 00 15.2500 .0\) 22 8800 .00 .0000 .00 ,OCOO .0000 .UO 152.50." ." 􀀴􀁾􀁬􀀵􀀠TX 118 CMPENTlm 1/1.4./200$ 1 00 lS.2500 !i.00 22 RaOO .00 ,0000 .00 .0000 .00 , 0000-.'0 .CO 221 1'1 􀀴􀁾􀁬􀀮􀁓􀀠n: 1.1.8 CAAPENTI:R 1./1.5/200$ .00 IS.2S00 8.00 22 8&00 .00 .0000 .00 .0'0'00 .00 .OOOC! .00 .00 183.0'4 EMPLOYEE (;S149 TOT.ALS: 1I01.l'1tS 57.0'0 .00 .GO 998,9£ , MCP254 2/ .00 . 0000 .00 .00 152,50 41SS TX 166 }"ORM5 5£'!Tl'.:R 1/11/2005 10.00 1S 2500 .<10 22 8800 .00 ,0000 .00 ,0000 .00 .0000 .00 .00 152. SO 415S 'l'X 16£ FORMS Sli:1"l'ER 1/12}2005 !I,OO 152500 ,00 22 aaco 00 ,0000 .00 .0000 .00 ,0000 .00 .00 137.2:5 HS3-'l'X 1GS FORMS SE"I:'U;R 1/131200S 1.0 00 1.S 2500 ,()() 22 BBOC .00 .0000 .00 .0000 .00 .0000 .00 .00 152.S0 US) n: 1.5£ FORMS Sli:'!'rER 1/1.4/20()S 1. ()O 15,2500 9 00 n 8600 .00 .0000 .00 ,0000 .00 .oeoo .GO .00 221,17 4153 n: U6 FORMS SETrER 1/15/2005 .00 15.2500 8.00 22 aapp .00 ,0000 .00 .0000 .00 .0000 .00 .00 183,04 EMPLOYEE 68048 TOTALS, HOIJR.S S7. 00 .00 .00 998. :96 DEn AHN'l" DSDUC'I'XON DESCRIP'I"ON 40.00 12SS EMPLOYEE DATA ,fI\1l""J"KRWOR'Il!: JAOOtl SS NUMflER 61205'1006 MARITAL STJ>.WS, 2 ZXEMPTIONS: lOS LAKEHILL DRIVE FJ1t'LOYEE NO.: 6S 21 3600 .00 ,(1000 .00 .0000 .00 .0000 .00 .00 142,50 m.5 TX 11e CAlU"'EN'l'ER 1/12/2005 9 SO 14.2500 ,00 21.3600 .00 ,0000 .00 .0000 .00 .0000 .00 .00 135 38 4115 TX 11.S CARPENTER 1/13/20'0'5 10 00 14,2500 ,00 2'1. 3800 .00 .0000 .00 ,0000 .00 .0000 .00 .00 142 so 4115 TX 118 CAlU?EllTER 1/14/2005 ,so 14.2S00 9,SO 21,3eoo .00 .0000 .00 ,0000 .00 ,0000 .00 .00 no 24 'illS TX ua CARJ?EN"l'E:R 1/1S/200S ,00 14.2500 8.00 21,3800 .00 ,0000 .00 .0000 .00 ,0000 .00 .00 I'll 0"1 J;;MPLOYEE 66015 'IOTAl.$, HOURS 51,50 .00 .00 9"4'1,16 DED AIm't OIlOUCT'lON tn;Scs.U''rQN 103.8S 􀂣􀁾􀁉􀁌􀁄􀀠SUPPORT MCP2S4 ' 2{01/05 11:28;13 1/16/05 CERT 􀁾􀀯􀁒􀀠ARCHER WESTERN CON'l"RACTORS, 929 to' ADAMS STREET ClilCJl.GO, 1L LTD. 60607 CERTIFIED PAYROLL WEEK ENDING 1/16/05 P It 0 J £: C T Arapaho Road 􀁐􀁨􀁡􀁳􀁾􀀠III .roe NUMBER. 204059 PAGE EMPLOYEl:. DI>.TA MARRON ALFREDO 10918 PARK OAK CIRCLE DAJ...:t..AS, '!'X 􀀲􀀱􀀴􀀯􀀵􀀲􀁅􀀭􀁏􀁾􀀩􀁬􀀵􀀠N/T CROSS S5 N'JIofaER 673043275 MARITAL STATUS: 2 £X£MPTIONS: 15228 mli'LOYEE NO.' 6aU9 B".!'HIUC CODE S SEX MALE TAX GROSS F,1.T. c:m::CK N'!)M8ER5; 26443& HIRe DATE 01/19/00 FrCAtHI; FlCA (OA5DI) S.D.1 S.U.I, 5TATE TAX CITY TAX CNTY TAX ONION OED. MISC, OED. NET PAY OCCUP. .00 WOJU: 1.248.00 CLASSl1":rCA'l'ION 125.62 74.90 DATE 􀁾􀁮􀀠􀁾􀀠l ft 2 .00 HR ft 3 .00 􀁾􀀠RT .00 M 4. RT .00 S Hit 5 .00 RT I?AY CODi: .00 VACATIon 40.00 &!\lUtlNGS 989.96 4113 4113 4113 4113 4113 4113 TX CARPEl'lT'li:R FOREMAN TX CARPlm"l'ER FOREMAN TX 􀁃􀁍􀁬􀀺􀁾􀀠FOREMAN TX C'.ARPB:tl"rl'.:R FOREMAN TX Cl\rtP1!tITER FOeMAN TX CJ\RPEHTSR F<>Rt::MI\N 1/10/2005 l/11/2005 1/12/2005 1113/2005 1/14/2005 1/15/2005 10.00 8.00 10,00 10.00 00 .DO 19.5000 19.5000 19.5000 19 5000 19 5000 U 51.1(.10 .00 .00 .00 .00 ,00 B.OD 29.2500 29.2500 29,2500 29.2500 2$.2500 29,2500 ,00 .00 .00 .00 .00 .00 .0000 .0000 ,0000 .0000 .0000 .0000 ,00 .00 00 .00 .00 ,00 .0000 ,0000 .00(\(1 .0000 .0000 .0000 .00 .00 .00 .00 .00 .00 ,OCOO .0000 .0000 ,0000 ,OOOD .0000 .00 .00 .00 .00 .00 .00 .00 ,00 .00 .00 .00 .00 195. CD 156. DO :l.95,CO 195.00 213.00 234. 00 l't"WLOY'BE 68269 TOTALS; HOURS 56.00 .00 .00 l.246,rHl OED 1IMNT 40.00 DEOUCTION DSSCRIPTON 1255 EMPLOYEE DATA LL>MAS VAL""" 515 aST TYLER STREF.'}' RICItAlWSDN.TX 972/70S-92l.) N/T CROSS 7SNI1 TAX S5 ti"JHBER 608280627 Hl\RITAL STATUS: 2 £XSMPTIONS: EMPLOYEE NO., 68274 ETHNIC COm: s IW.ESEX CROSS F .X. '1', CHECK mJ)'J3E1Ul \ HIRE OIITE 26443"01/31/00 S,n,IFICA (HI) FlCAiOASOI} 1 S.T),I, STATE 'flU:: erN TAX 0ll'Y TAX UNION nm M!SC. OED, NET PAY occo.... .00 8B4.25 WORK CT.J\.SSXFICATlON 86.29 54.S2 DATE U.S,O, M 1 ft 2 HR 2 ft .00 NR $ R1' 00 HR 4. RT .000000 5 HR 5 ItT PAY coos coos VACATIon .00 £l\.RNINGS 730,32 4115 4115 .ollIS 4115 4115 4115 'tX 118 CAR...£NTElt TX 118 CrutPENTER n:: 118 CARPEltl'ER n:: 118 CARPrnTER TX ll8 CARP£'liTER TX 118 Cl\rtPEN'l"ER 1/10/20()S 1/11/2005 1/12/2005 1/1l/2005 1/14/2005 1/1-5/2005 10.00 10.00 9.00 10,00 1.00 .00 13,$000 13.5000 1$.5000 1$.5000 13.5000 13,5000 ."." .00 .00 , 00 a.oo 20 2500 20 2500 ::W 2500 20 2500 20 2500 20 2500 .00 .00 . 00 ,00 ,00 ,00 17 0000 21.0000 27 0000 27 0000 27 0000 21.0000 EMPLOYES .00 .00 .00 ,00 ,00 .00 .0000 .0000 .0000 .0000 .0000 .cooo .00 .00 .00 .00 .00 .00 Gli274 TOTALS, trotllt5 .0000 .0000 .0000 .0000 .0000 .0000 57.00 .00 .00 .00 .00 .00," .00 00 ,00 .00 .00 .00 .00 .00 l.lS 00 135 00 1Z1 SO 135,00 195 75 162.1;\0 084.25 AAOIER WESTERN CONl'RACTORS, LTD, CERTIFIED plI.YROLL PROJECT PAGE 􀁾􀀲􀀹􀀠􀁾􀀠ADAMS STREET weEK IrnO:rnG Arapaho Road 􀁐􀁨􀁬􀀧􀁬􀁾􀀠III 1/16/05 CHICAGO, II. ,,0,,07 JOB HUMBER, 204059 SM?LOYEI:: 01\.1'11. arco A:Lru:RTO JAIME 55 NUMBER 􀀱􀀲􀀱􀁾􀀰􀀷􀀶􀀸􀀺􀁬􀀠MARITAL STA'I'US' :2 E)TION5: , 2839 A!ASSA AVEt."V"'E EMPLOYEE NO.' 68la2 DAl..l:JlS , TX 7521-6 E:'I'tJNIC CODE CHECK NUMBERS, 264448, 􀀹􀀷􀀲􀁊􀁓􀀷􀀹􀁾􀀳􀀳􀀶􀁬􀀠SEX "'ALP. HIRE nATE 􀀰􀁾􀁦􀀲􀀶􀀯􀀰􀀰􀀠NIT CROSS TAX GROSS P.:.t.T, FlCAIHll li'rC'A(OASD1) S.D.! S.V,!. STII.n: TAX CITY Tl\X C!lTY TAX UNION DEO, MISC. nED. NE1' FAY .00 655,00 33,44 10,61 9.50 .00 .00 .00 .00 .00 .00 .QQ 571.15 OCCIJP. WORK CLASSIFICATION DATE 1 tm 1 RT tm 2 ft 3 􀁾􀀠3 􀁾􀀠• tm RT 5 Hft 50 RT PAY CODe VACA'X'ION EARNINGS 4126 '!'X 172 COMMON LABORER 1/10/2005 10 00 10.0000 .00 lS.OOOG .DO .0000 .DO .0000 .00 .0000 .QG .CO 􀁾􀁏􀁦􀁪􀀠00 4126 TX 172 C0MJ>10N I.ABORER 1/11/2005 10 00 10.0000 .00 15.0000 .,. .0000 .0. .0000 ,0000 .00 101.1 ,01.1." ."4126 n: 1n COMlo!ON LABORER 1/12/2005 9 00 10 0000 00 15.0000 .0' .0000 .OS .0000 .00 .0000 .00 .00 90,01.1 4126 'l'X 172 COMl<1ON LABORER 1/1)/2005 10,00 10.0000 ,00 15 0000 .0. .0000 .00 .0000 .00 ,0000 .00 .M 100 00 4126 n: 172 􀁾LADORER 1/14/2005 1.00 10.0000 9 00 15 0000 .DO ,0000 .00 .0000 .00 ,0000 .00 .DO 145 1.10 4126 n P:>: 􀁾t..IUIiORER 1/15/2005 .00 liLoooo 5.00 l,!, 01'/00 .DO .0000 .DO .OO!HI .00 .0000 .CO .00 121.1,00 D-IPLOYEE 6S)S2 'ro'l'A.l.S, HOORS 57.00 .,. .DO 655,00 EMPLOYEE nATA OELTORO RIGOB£RTO 5S mJMSER 42728)74:6 MAR1TAL STII.TUS, 1 EXEMPTIONS: 1201 ST LOUIS AVENUE eMPLOYEE NO •• GaS4S FORT WORTH, TN 71>104 EntNIC CODE $ 01;;:0: NW.BERS 􀁾􀀠264424 817/41:1-0173 SEX MAL< HIRE DATE OS/21/01 NIT GROSS TAA GROSS F,LT. rtCAtHU FICA (OAS!)!) S.D,! S.V.I. STII.TE TAX CITY TAX om' TAX UNION DEl). MISC. OED, NET PAY .00 976.08 101.39 59.7'1 D.M" .00 .CO .00 .00 12.00 755.94."accup. WORK CLASSIFICAT10N DATE 􀁾􀀠1 H 2 􀁾􀀠ft HR RT 1 HR RT 5 rut RT PAY CODE VACA'l"lON EARNINGS 4115 TX 118 CARpENT-'...lt 1/10/2005 10 00 15 2500 ,00 22 8800 .,0 .0000 .0000 .M .0000 .00 .,. 152.51.1." U15 TX 118 CARpENTSR 1/11/2005 a, 00 15 2500 ,00 n a800 .00 .0000 .00 .0000 .00 .0000 .00 .00 122 1.11.1 <1115 TX 1U CARpEN'l"li:R 1/12/2005 10.00 15 2aoo .00 22 8800 .00 ,0000 .,' .0000 .00 .0000 .00 .00 152,50'.., .0'11115 TX 118 CARpEN'l"li:R 1/B/200s 10 QO 15,2500 .00 22.8800 .0000 .0000 .00 .0000 .SO .SO 􀁾􀀵􀀲􀀬􀀵􀀰􀀠IIUS l'X 118 CMI'E'N'!'£R 1/14/2005 2 00 1.5,2500 800 22.8800 .0000 .OS .COOO .00 .0000 .CO .00 :all 511." 4115 l'X 118 CARpENTER 1/15/2005 .00 15.2'SQQ 5.00 22.8800 .00 .0000 .00 .0000 .00 1.'11)00 .00 .00 Ul.04 li:1oIl"t.OYE£ 6aS45 TOTA.l.S, HOORS 56.00 .00 916. os'co OED hMNT DEDOCTION OESCRIl"TON 12.00 1255 􀀬􀁍􀁃􀁴􀀾􀀲􀀮􀁓􀁾􀀠2/01/05 12;26:1$ 1/26/05 CEltT plR ARCHER WESTERN CONTRACTORS, LTO. CE:RT1.IEO f>AYROf.L PRO J E C T PAGE '29 Ii I\D)\MS STREET WEEK &m:llNG Arapal10 Road Phase III 1/26/05 􀁃􀁈􀁉􀁾􀁏􀁏􀀬􀀠IL 6(61)7 JOB NUM:8ER. 2040S9 EMPLOYEE: t»\TA 􀁏􀁃􀁕􀁾􀀠JESUS 55 nUMBER 4663762151 MAl1.ITAL STATtlS, 2 EXEMPTIONS: 6 2'i44 LIPSCOMB SMl"LOYEE NO, 68680 FORT WORTH. TX 76120 E'l'MNIC COOE: S CHECK NlJMBE:RS: 264442 617/920-1162 SEX MAL£: lURE DATE U/.l2j01 N/'l' GROSS TAX GROSS I{,I.T. FlCAUII) FICJdOASDI} S.D.I S.U.l. STAn: TAX Cln TA'l( CN'r( 'tAX wrON OED. MISC. OED. NET PAY ,00 619,2!o )0.39 50.19 1.1,99 ,00 .on .00 .00 .00 ,00 126.19." DCCtn'. WORK CLASSIF"lCATION DATE lHRIRT2HR RT Hft l itT HR RT 5 HR 5 RT PAY CODE VACAnON EARNINGS 4115 TX US CAllPEN'l'ER 1/10/200$ 10.00 􀁉􀁾􀀬􀀵􀀰􀀰􀀰􀀠.00 21.7500 .00 251.0000 .0000 .0000 .M .00 us 00." ." 411S TX 116 CUPENTER 1/11/2005 8.00 14.5000 ,00 :u 7500 .00 29.0000 .M .0000 .0000 .GO .00 .ll6 00." 4115 'l"X He 􀁾􀁒􀁐􀁅􀁴􀁴􀁴􀁅􀁒􀀠1/12/2005 5.0/) 14.5000 ,00 2.l '1500 .00 29,0000 ... .0000 .GO .0000 .00 .00 72 SO -illS TX IIe CARPENTER 1/13/:1:005 10.00 U.SOOO .00 21 7500 .00 251,0000 .00 ,0000 ,0000 00 .00 ::.45.00." 4115 'l"X 118 􀁾􀁐􀁅􀁎􀀱􀀧􀁅􀁫􀀠1/14/2005 1.00 14.5000 :LOO 21.'1500 .00 29 0000 .00 .0000 .00 .()(l00 .GO 166.75." 4115 'l"X 116 CARPENTER 1/15/2005 ,00 14.5000 B.OO 21.1500 .00 29.0000 .00 .0000 .00 .CODO .00 17".00." EMPLOYEE SaGeo TOTALS \ HOURS 52.00 .00 1019.25" EMPLOYEE DATA MAPRID NAVA ROMAN 55 N'l.'IMBER 591428435 MARIThL 􀁓􀀧􀁬􀀧􀁁􀁔􀁜􀀮􀁉􀁓􀁾􀀠2 EXEMPTIONS, 4 1201 ST LOUlS AVEN',,£" EMPLOYEE NO., GIlGSS FOltT WORn!, TX 􀀱􀀶􀁾􀀰􀀴􀀠&nnuc CODE ; S ClIECK «tlXBER5, 􀀲􀁾􀀴􀁕􀀷􀀠􀀶􀀱􀀷􀀯􀁮􀁬􀁪􀁾􀀴􀀲􀀱􀀱􀀠SEX MALE HIRE CATE 􀀱􀀱􀀯􀀱􀀶􀀯􀀰􀁾􀀠NIT GROSS TAX GROSS £'.1.'1'. FlCAtHl) I!'l.CA(OASOl) 5.0.1 $.t1.l. STATE TAX CITY TAX CN'l"'J( TAX U1UDN OED. MISC. !lEIl. N'E'I' PAY .00 89b.OO 54.36 53.07 12.H .00 .00 .vo .00 .00 .00 40 00 736.l6 OCCUP. WORK ClASSIFICATION DATE 2HR1RT Hilt RT 1m RT 4: HI< itT S Hlt 5 R'!' 1>1( WEEKLY INSTRUMENT MAN 1/12/2005 10.00 16.8000 .00 2S 2000 00 .01.101.1 .00 .0000 .10 .0000 .01 .GO 161Loo 4124 'l'X t.1EE1. WORK CLASSIFlCATiON DATl! 1 HR :I. itT 2 HI'!. :.1 RT 3 Hit itT .. HR RT HR 5 itT PAY COOl'! VACATION 1i:ARtll:Nr'-.5 4l.37 TX 342 CRANE OPE;P.ATOR :I./:l.O/2{)OS lO.OO 2(1.2500 JO )80(1 .00 • 0000 .00 ,0000 .00 .0000 .GO .no 202.50." 41.37 TX 342 CRJINE OPERATOR 1/U/200S 10 00 20.2500 30 noo .00 , 0000 .00 .ecoe .00 .0000 .01 .00 202.50." 4:1.37 TX lot2 CAANE OPERATOR 1/12/200S 11 se 20.250(: .00 10 3600 .00 .01.100 .00 .ooco .00 .0000 .GO .00 23.2 . as 41J1 TX 342 CR.A.NS OPERATOR l/13/2005 6.50 :202500 1.50 30.3800 .00 ,0000 .co .oeoo .no "0000 .00 .11 􀀲􀁾􀀷􀀮􀀷􀁡􀀠4:1.37 '!'X 342 CRANE OPERATOR 1/14/2005 .00 20 2500 ll.OO lO.3800 .01 .0000 .00 .0000 .no .0000 .00 .11 334.1$ 4137 '!'X J 4 2 CRANE oPERA't'OR :I.}:l.S/2005 ,00 20 2500 8.00 30,)&01.1 . 0000 .00 .0000 .GO .0000 .01 .10 241.01." EMPWYEE fiSEOIi 'l'OTA!,s, HOURS (;0, SO .00 1, ,,:;2, a.!)." DED AMNT DEDUC'l'ION OESCRlPTON OED AMNT DEDUCTION OESCR!MON OED AMN'I' DEOOCTlON DESCRIP'l"ON :1.:1.. S4 CHILO CHILO SUPPORT 69,24 CHlLl) SUPPORT 40.00 llSS MO'254 ' 2/02/05 11:28,18 1/16/05 CEltT P!R ARCHER WESTERN CON'l'1IAC'TORS, LTD. CE:RTIFIED PAYROLL PRO J E C T PAG£ 9 9'2? W ADAMS S1'll:H&T WF.EK £l..'DING Arapaho Road ?hase III 1/16/0:" CHICAGO, XL 601;:(17 JOB NUMBeR. 204059 m1PW'iEE DATA RI:>MIR.E:& JOSS h, 55 NUMBER 644'169460 􀁾􀁉􀀧􀁴􀀧􀁊􀁜􀁌􀀠STA7,JS: 1. 8:)(£MPTIONS: 2105 NOR't'R NURSERY ROAO EMPLOYEE NO. 68$20 IRVING, TX ?SOGl EniNIC CODE S CHECK :mJM8ER.S, 26444"1 􀀹􀀷􀀲􀀯􀀲􀀵􀀩􀁾􀀰􀀵􀀱􀀲􀀠sex Mkf,E UIRE OATS 05/14/02 NIT GROSS 'l'A.X GROSS l'i. 1.1'. HehiHI) l"leh(OASDII S.D. I S.U.I. STATE TAX CI'l""l TAX WIOI4 treP. MISC, DEO, I4ET PAY CN'l'Y "'"' .00 􀀶􀀵􀁾􀀮􀀩􀀸􀀠86.75 40,}4 􀀬􀀳􀁾􀀠.00 • .00 .00 .00 .00 12 00 511.1'(.1 occup, WOlUt ClJ\SSIl'ilCATION DATE lHR1RT2HR RT 􀁾􀀠3 u 4 􀁾􀀠RT 5 Nil. 5 R'r PAY CODE VACATION EAAN::'I4G5 4119 "IX 205 PlPELAYER 1/10/2005 10,00 12.5000 ,00 19 ?500 ,OO · 0000 ,no .0000 ,00 .0000 ,DO .00 12$,00 4139 TIt 20S PlPELAYER 1/11/2005 9.00 12.5000 .00 18 1.500 ,00 · 0000 ,00 .COOO ,00 .COOQ ,00 112.$00."4139 'tX 205 􀁐􀁉􀁐􀁅􀁾􀀢􀁩􀁅􀁒􀀠1/12/2005 9.50 12,500C .OC 18 1:;00 · 0000 .00 .0000 .00 . 0000 . 00 116.1$0," ,"4139 TIt 20S PlPELAYER 1/13/2005 10.00 12.5000 ,00 18 7500 ,00 ,OOCO ,00 .0000 ,00 .01>00 ,00 ,GO 125,00 4139 'tX 205 􀁐􀁬􀁐􀁩􀀺􀁌􀁁􀁙􀁾􀁒􀀠1/14/2005 1.50 12.5000 8.50 18 7500 ,00 ,0000 .00 ,0(\00 .00 ,1>000 .00 ,00 118.13 £tIlPLOYEE 68810 TOTALS, HOURS 48.500 .00 .00 659.38" OSO AMNT DEDUcrION OI;;SCRIPTON 12.00 2255 EMPLOYEE DA'rA CORONADO JOSE v, SS NUI-l13ER 7659(8)90 MARITAL STATUS I 2 exEMPTIONS: s 411.'> BAKER EMPLOYEE NO. I 68914 DALLAS, 'tX 15212 £nlNIC CODE S CHECK NUM.ElEltS, 264422 􀀲􀀱􀁾􀀯􀀹􀀲􀀰􀁾􀀡􀁬􀁜􀁬􀀱􀁓􀀠SEx MALE UIRE DATE: 07/01/02 NI'r GROSS TAX GROSS l'i.I.T. FICAIHI) FICA(OASDI) S.D.I S.U,I, STATE TAX CI'l""l TAX CNn= lrfllON OED. M1SC. PED. NET PAY .00 719.66 24..£J. 41.S? 10 26 ,00 00 ,00 .H .00 .01> 12 00 􀀶􀀲􀁥􀀮􀁾􀀲􀀠OCCUf. WORK CLASSIFICATION DATE HR RT HR. 2 ltT MR J U 4 􀁾􀀠4 H 5 􀁾􀀠R't t'J\'( CODE VACATIOI4 EARNlNGS 4225 'tX 12a. CARPENTER 1/10/2005 10 00 14.2500 , 00 21.3800 ,00 .0000 .00 •()I>I>I> ,00 ,0001> ," ." 14Z .50 4225 'TX 12.Jl CARPENTltR 2/11/200$0 8.00 14..2S0C .00 21. 1&00 ,00 0000 ,00 .0000 ,00 ,0000 ," .00 11>1.00 4115 'TX 118 CARPEm1ll't l/12/20()S ,00 14 2500 .00 21.3\1.00 .00 .0000 .00 .0000 ,00 .0000 12S.25,"4115 "IX 128 CARPENTltR 1/13/2005 10 00 14 a5CO .H 21. )IHlO .00 .0000 ,0' .0000 ,00 • D(Hl!) ,00 ,"" 142.5E) 4115 TIt 11$ CA.RP!:N'!'f!R 1/14./2005 , 00 14 .2500 ?OO :21. )800 .00 .0000 .00 .0000 .00 .1>000 ," ," 192.41 EMPLOYEE 68914 TOTALS: 1I0URS 47.00 ,QO 719:.65." cst) AMN'!' Dr.DUCTION OESCRI?TON 12.0C 1z55 MenS·li 2/01/05 11,2$:18 1/16/05 CERT P/R ARCHER WESTERN CCPTRACTORS, LTV. c e R T I FIE 0 PA'fROLL PROJECT PAGE 10 929 .... ADAMS $TR.EeT WEEK RHDING Arapaho Road Phase III 1/16/05 CHICAGO, IL 60607 JOB NUmlSR. 20405!1 F.MPLOYEE OATA CORONADO CESAR SS h'UMElep. HS89'1065 MAlUTAL STATUS! 2 EXEI'!I"rJONS! , 4022 SDLOMAN EMi>I.OY££ NO,' 68S16 OAJ.,LAS, TX 7S212 £'tH,UIC COVE S OiECK NUMaET!S t ;1£4421 214/634 -7&27 SEX Hla;; W\.TE 06/28/1'12MAL' N/T GROSS TAX GROSS F.I.T. FICAiHI) FICA feASDIl S.P.I S.U.I, STATE TAX CN1"t TAX wrON DED. MISC', Dm. N'E:T PAYCITY """ .00 782.75 21.97 46.05 10 77 ,00 .00 .00 "" .00 "00 _." occu,. WORK CLASSIPICATION nATE Hit 1 itT 2 Hit 2 RT HR R'l' 4 HR RT 5 HR 5 RT PAY COPE VACATION E.MNllfGS 4115 TIt 118 CAAPElfi'EIt 1/10/2005 10,00 15 5000 .1'11'1 23.2500 .CO .0000 .00 .0000 .00 ,0000 .00 155 00." 4115 TIt US CM:l'£N'I'ER 1/11/2005 a.oo 15,SOfH'} .00 23.2500 .00 .0000 01 ,0000 .00 .0000 .00 .00 124 00 H1S 'TX 11$ CAkPlnfr£1t 1/1Z/200S 9,00 15 5000 .00 23.2500 .00 .0000 .CO ,0000 .00 . 0000 .00 .00 119 SO 41.15 'nt ll.8 ChRP£NT£R 1/13/2005 10 Oli 15.5000 ,lili 22.2500 .00 .0000 .01 ,oeoo .00 ,0000 .00 .00 155 00 4115 'nt 118 CAA!'l'lNTER 1/14/2005 3 00 15.5000 7 00 23.2500 .00 .0000 .00 "0000 .10 ,0000 .00 209: :1:5." 􀁅􀁍􀁐􀁌􀁏􀁲􀁾􀀠6691G '!'OTALS, HOURS 4'7.00 .CO .00 782.'75 PEP AMN1' DEDtrC'l'ION DESCltIP'lOli 10.00 USS EMPLOYEE' OATA GUZMAN wuruEL S. SS Nt1M:6EIt 6nOll'197 MMlI'l'AL STA'l'tTS: 2. EXENpTION$, 901 HODGSON STREET EMPLOYEe NO. GaSas FORT WORTH, '!"X 76115 E'mNIC CODE S CHECI{ N\.l'MBEItS, 2644.12 $l7/9n-95Q2 SEX MI\.l£ HIRE DATE 08/06/02 N/T GROSS TAX GROSS 􀁾􀀮􀁉􀀮􀁔􀀮􀀠FIC.l'dll!l PlC.1\(OASDIl S.D.I S,U.!. STJI'l'€ TAX CIn TAX CHTY TAX UNION PEP, MISC. DED. NET PAY .00 ;;:,,'.16 33.'7'7 40.74 !I.S1 ,00 .00 . 00 0001" u." ." •• OCCIIP • WORK CLASSIFICATION DATE lHR lRT 2HR 2P:T 1HR P:T 4 HR RT 5 tiR 5 RT l?AY CODE VACATION El\J!.NINGS 4115 n: 11S CM:1?!i;N".t"ER 1/10/200S 10.00 13 .2500 .00 19.a600 .0' ,0000 .00 .0000 .00 0000 .CO .00 132.50 4115 'TX 116 CARPENTER 1/11/2005 a,oo 13.2500 .00 19, aaoo .0' .0000 .01 ,0000 .00 .0000 .CO .00 106.00 4115 TX 11S C'ARPE'N':t'rr:R 1/12/200S 9:.00 1l,2500 .00 lSI' asoo .0000 .00 ,0000 .00 .0000 .11 .00 ll!l 25."U1S 'l'X 1l.'1 CM:PEHTER 1/13/2005 10 00 II 2500 ,00 lSI' a800 .00 .oeoo .00 .0000 .00 .0000 .00 .00 132 SO 4115 '17. 118 CARPan'ER 1/14/2005 ).00 II 2500 '1,00 lSI' 3aoo .00 .0000 .00 . eooo .CO .0000 .00 .00 178 n tMpLOYEE 5ij9?6' "rOTALS: HOURS 47.00 .00 .00 􀀶􀀶􀁾􀁌􀀱􀀶􀀠OED 1IKtfl' DEDUCTION OESCRIl"l'ON 12.00 U5S ,,". MCP2S4 2/01/05 􀀱􀀱􀀻􀀲􀁡􀀻􀁾􀁂􀀠1/16/05 CERT P/R II.RCHElt WESTERN COtrrRl\CTORS. LTD, CERT1FIED PAYROLL 􀁾􀁒􀁏􀀧􀀻􀁅􀁃􀁔􀀠PAGE 11 9'29-W ADAMS S'l'1tEET Wf;EK END1NG Arapaho Road Phase 111 1/16/05 CHICAGO, ll.. 60607 ';0& NUMBER. 2010$9 £'M?40YI!:F. DATA l'l\Z JOS£ EIUfESTO SS NUMBER 467S76035 MARITAL STATUS; l EXEMPTIONS: 361.8 MOl,£R STREET h"MPLOYEE NO.' '!9:l3' nhLLAS, n: 75211 £'l'HNIC CODE S CHECK NUMBERS, 264443 214/337-5861. MALE HIRE !)ATE 07/l.rJ/IT l{R3RT4HR >IT HR 5 itT PAY com: Vl\CJ,:1l0N EARNING' 4113 TX 􀁃􀁁􀁒􀁐􀁅􀁾􀁲􀁥􀁒􀀠FOREMAN 1110/2005 10 00 l6 0000 .00 24:.7500 .00 .0000 .00 .0000 .00 .0000 .00 .00 1400.00 4113 '.!".it CARPENTER f'ORE\IlAN l/n/20<)5 8.00 160000 .00 24. 7500 .00 .0000 .00 ,0000 .00 .MOO .00 .00 128.00 U13 'I'X CARPENTER FOltSHAN l/12/2005 ,00 16 ,l\:lOO .00 24.7500 .00 .0000 .DO .0000 .00 .OOO? .00 .00 H4.00 411.3 n; CAlti'Eh"TER 􀁆􀁏􀁾􀀠l/13/2C<)5 10 00 16.00<)0 .00 24.7500 .00 .0000 .00 ,0000 .00 .0000 .00 .00 1.60,00 41.13 TX CARPENTIi:R F'ORE:M.AN l/l4/200$ 300 16.0000 7.00 :>4,7S00 .00 .OCOO .00 .OCOO .00 .0000 .00 .00 221.2$ EMPLOYEE 69135 TO'I'ALS: HOURS 4"1.00 .00 .00 Sll.25 OED J\MNT Df;OOCTION OESCRIP1ON 􀁾􀀺􀀧􀁬􀀬􀁑􀁏􀀠nss EMPLOYEE OATh RICO JAVIER SS NUMBER 43829%74 HARITl\I, S'r1l:nJs!' 2 EXEMPTIONS! :>639 A.Ll\SKA 􀁬􀁜􀁖􀁅􀀺􀁾􀀠EMPLOYEE NO.· 6S021.1 OJl.l.LAS, TX 75216 ETHNlC CODE S CHECK N"JMI'IERS: 264451) 2J.4/975-N;49 Mll-l,-g lURE DAn; 10/02/'$ NIT GROSS TAX GROSS''"' F.I.'1'. FICA iID} FICA IVASDI) S.D.1 5.U,1. STAn; T'\x er'!'Y T'\x CNTY TAli UNION DED. M1$C. PED. tfET PAY .00 535.00 25.91 33.1"1 7.740 .00 .00 .00 .0000 .e. ,00 468.26 OCCUP. WORK CLASSIFICATION DATE lHR1RT HR .2 R'l' HR RT 4 HR "RT 5 HR 5 RT PAY CODE VACAT1DN ElIlmDlGS 4126 '.!".it 172 COMMON LABORER 1/1012005 10 00 10 0000 .00 lS.0000 .00 .0000 .00 ,0000 .00 ,MOO .00 .00 100.00 4126 T:i( 172 COMMON LABORER l/11/lCOS 10 (1) 10,0000 .00 15.0000 .00 .0000 .00 .0000 .00 ,0000 .00 .00 1,00.00 U26 'tX 1.72 COMMON 􀁾􀁂􀁏􀁒􀁦􀀻􀁒􀀠1/12!a005 9.00 10,0000 .00 1$.0000 .00 .0000 .00 .0000 .00 .0000 .00 .00 90.00 U2(i TX 1.72 COMMON LABORER 1/13/2005 lO QQ 10 0000 .00 15.0000 .00 .0000 .00 . 0000 .00 .0000 .00 .00 l.00.00 412' TX 172 COMMON LABORER 1/14/2005 1.00 10 0000 SO. 00 15,0000 .00 .0000 .00 .0000 .00 .0000 .00 .00 l.4$.ee EMPLO'(E"E" 69ll.1 '1'OTALS 􀁾􀀠HOURS 43.00 .00 535.00." ,MCP2S4 2/01/05 11,2$,18 1/16/05 CltRT p/R ARCHER WEST£Rl'< COz.rntACTOR5, L'ltl, CERTIFIED PAYROLL PROJECT PAGE 12 929 W 1IDAMS STRB£T WEEK ENDING 􀁾􀁡􀁰􀁡􀁨􀁯􀀠Road Phase III 1/16/05 OIIC/lGO, IL 6060'1 JOB NUMBER. 204059 􀁾􀀦􀁌􀁏􀁙􀁅􀁅􀀠DATA Rrco JOSE A. SIS NUMBER 4532281'12 W>J!:ITi>.L STATUS, 2: EXEMPTIONS: , '10)"1 TOLAND EMl'LOYEE NO. 69213 DI!.l.lJ\.S. 'I'X "1522"1 ETffNIC COlE S CHECK NUMBERS: 264451 214/2'15-0649 SEX MALE HIRE DATE 10/02/9$ NIT GROSS TAX GlWSS ;-,1.1'. FICA (HI) PICA!OASOI) S.O.I 5.U.I, STATE TAX CI'1"':f TAX CNTY TAX UNION Dtc. MISC. moo. NE'l' PAY 00 588,50 G.S.g. 3G.'19 lLS) .0 .00 .00 .00 . 'C .00 53G.94."OCCUP. WORK CLASSIFICATION IlJ\TS fiR 1R'I' 2 fiR ::tRT lHR RT HIt RTSlll\SRT PAY CODE VACATION AARNINGS U2G 'I'X 1n COMMON IABORtm 1/10/2005 10,00 110000 .00 16.5000 .00 .0000 .00 .0000 .00 .0000 .0' .00 111),00 4126 TX 1"12 COMMON LABORER 1/11/1005 10,00 110000 .00 165000 .00 .0000 .00 .0000 . ,c .0000 .00 .00 110.00 4n6 TX 1n COMMON t.J\&ORER 1/12/2005 9 00 11 0000 .00 16,5000 .0000 .00 .0000 .00 .0000 .00 .CO 99.00."4126 'l"X 1n COMMON IJ\!\ORER 1/13/2005 10,00 11 0000 .00 16.5000 .0' ,0000 .cc .0000 .0000 .00 110.00'." ." 4U6 'l"X 1?2 COMMON IJ\!\ORER 􀀱􀀯􀀱􀁾􀀯􀀲􀀰􀀰􀀵􀀠1.00 11 0000 9,00 16.5000 .00 ,0000 .00 ,0000 .00 ,0000 . CC 159, SO." eMPLOYEE 692::.3 'tOTALS, HOURS 49.00 SSl),50." ." EMPt..oYEE DATA ROMAN SUSAN{) 55 NiJ'lI'iBER '3$012496 MARl:Tt>L STA'l'US: :2 EX£Mln'ION;S, ;HI28 RUIOOSA EMPLO"iEE NO.' G9:6il6 DALLAS. 'I'X '/5224 £nrnIC COlE S CHECK NUMBERS, 264452 214/GtlO-4l90 SP. MALt HIRE DATE oe/13/02 lilT GROSS TAX GROSS IF.I T. FlCAtSI) FICA (OASOI) S.D.I S,U.I. STAn:: 'rAA CIT")( TAA CNTY 'rAY. UNION USD, MISC, 􀁄􀁾􀀮􀀠NET PAY -----------_...-,-------_...-..---------------_... ---------_.􀁾. 00 984..45 90,29 60.2:9: 14.10 .00 .00 .00 .GO .00 .00 1200 S(I?,71 OIXUP. WORX CLASSIFICATION 1lJ\'IE 1 Hit RT 2 Hit RT fIR 3 RT HR RT 5 HR 5 RT PI,Y COlE VACATION Ei\l\'.NINGS HIS 'l"X 11$ CJ\RPENTER 1/10/2005 10.00 15.7500 .00 23.6300 .00 .0000 ." .0000 .0' .0000 .co ..DO 157.50 4115 'l')( 11S CARPE1I'ttR 1/ll/2005 a 00 15.'1500 .00 23.5300 .00 .0000 .00 , 0000 .00 .0000 .00 :t:!6.oo."4115 n l1e CARPENTER 1/12/2005 9,00 15,7500 .00 23.6300 .00 .0000 . 0000 .0000 .00 .00 141,7S." ."4115 'IX 118 CARPE'N'!'ER 1/1312005 10.00 15.1500 .00 23.6300 .00 .0000 .00 .0000 .00 .0000 .00 .00 157 so 4115 n 11S CARPENTER 1/B/2005 ),00 15.1500 7,00 236)01) .0' .0000 .00 .0000 .00 .0000 .00 .DO ::t:l2,66 4115 TX 11S CAltPE:NTI:R 􀀱􀀯􀁾􀀵􀀡􀀲􀀰􀀰􀀵􀀠.00 􀁾􀁓􀀬􀀧􀀯􀀵􀀰􀀰􀀠S.OO 23.6300 .00 .0000 .00 .0000 .00 .0000 .CO .C' 1&9.1)4 $lTON 12.00 125S H H H • o > 􀀽􀁾H. 􀂧􀁾o H W:.l,...; "' 􀁾H'• H e • w u 􀁍􀁾􀀠􀁾􀀹o. H, OH HO •􀁾􀀠H H· · • o o o o 000000 (,)0000<:> 0000'''''''' 00':'000 􀁾􀁾􀁾􀁾􀀺􀀺􀀺􀀺􀁾􀀠000000 000000 000000 000",00 000000 ............. ..-1.-1 ..... 9<;>0000:> 􀁾􀁾􀁯􀁣􀀺􀁣􀀺􀁯􀀠00""0 .... HH H "' .... "'11)<1\ .....000000 000<::>00 .... NNNNN" ........ ,"'----􀁾􀁾􀁾􀀻􀀺􀀺􀀺􀁾􀁾, .... " ...... ,rlrirl ..... ..-I .... "'1"",,,,,,,,,,"'("."r-.... ... ........ rl ...... ri \O\O\Q"''''ob ....... N N N N rl,-! ..... ,-I..-1 ...."''''' ......... .,. Jo 00.0<:>00 000o",0 Ill .... "''''''' w00':' 0"" N .... rl ........ ,..., ... 000000 000000 000000 000000 000000 000000 000000 000.000 000000 000000 000000 000000"' ........ "' .... '" "' ............. 1" 􀁾􀁾􀁾􀁾􀁾􀁾􀀠000000 000000 o. H 000000 000000 000000 􀁕􀀻􀁾􀀢􀀡􀀢􀀡􀀢􀀡􀀢􀀡􀀠0 0000 ... ..................... 000000 000000 0000 '-<.-1""..-1 􀁩􀀺􀁪􀀻􀁧􀁾􀀺􀁾􀁮􀀮􀁬􀀠􀁾􀀠000000 ",,,,,,,NN\,>'''''-'-'OriN"' ....... ................. .-<"'-, ............. .... .... "" ... ..-i .... rl 􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀠􀁾􀁾􀁾􀁾􀁧􀁾􀀠Ul .... "' ......... .... .......... 􀀡􀁾􀀠... rrl .... ..-l .... rlrl 111111 111111 \l'jlll N"'NMNN rlrl .... ..-l .... d "" ..,. .., -1' -1' 4 00<::1000 00000", o• <:> <:> <:> 0 ",;t\ o 000.0.,.0 ........ r1"'; M • • o o ooooco 000000 00000';;' 000009 OOOOOQ 􀁾􀁏􀁾􀁣􀀺􀁏􀁏􀀠<:>00000 000000 000000 0000000 000000 oooaoo <>00000 .... N N N ,.. '" • •M " o o o o o o MCP2S;,' 2/01/0S 11,29,1$ 1/lG/05 CERT P/R ARCHER WESTERN COh"TRAC"roRS, I..TD, C E it T I FIE 0 PAYROLL PROJECT fAGE 14 9211 '" ADAMS STREET "'i1:EK elIDING Arapaho ROllO Phase III 1/16/05 CHICAGO. II. 60607 JOe NUMBgR. 204059 £.MPUl'iEE DATA LEDESMA ARMANDO S9 mJMBER %977'10;;1 MARrTA:L S'!'AT",JS, 2 EXEM;n'rONS, 916 RDI..LlNG MEAOOWS DRIVE EMPLOYEE NO,' 9H46 aURL£,SOI1, n: 16026 eTHNIC CODE' S CHECK «tIMBERS: 264131 􀁡􀀱􀀱􀀱􀀴􀀱􀀱􀁾􀁓􀀶􀁓􀀵􀀠SI!){ MALE HIRE DATE 10/13/0) NIT GROSS 'TAX GROSS F,I.-t, FICA {Hl) l'ICA(OASDI) S.IL:: S.U I. STATE TAX CITY TAX CHT'/TAX UNION OED. MISC. OED. NET PAY .00 911,00 􀀵􀁜􀀺􀁊􀀮􀁾􀁈􀀠51,52 12,05 .CO ,OC .CO .00 .00 .. 0. (1) 70"1.59,"OCCU? WORK CLASSlJ"ICATION DhT!! HR RT HR 2 RT HR RT SR RT5HR5RT PAY CODE VACATION E1I.RN::tNSS 115) n: 166 FORMS SII:n'ER 1/10/2005 10.00 1.3.COOO .00 19,5OOO .00 .0000 ,00 .CCoO .00 .0000 .00 .00 1)0.00 US) n: 166 FORMS SETTER 1/11/2005 10,00 13.0(100 .00 19.5000 .00 .0000 .00 .0000 .00 .0000 .00 .00 130 00 US) TX 166 FORMS SE'M"I!:R 1/12/2005 9.00 13.0000 .00 19.5000 .0000 .00 .0000 .00 . 0000 .00 .00 􀀱􀁾􀀷􀀠00,"US) TX 166 FORMS SETl'ER 1/13/200S 10.S0 13 0000 .00 19,5000 . 00 .<1000 .00 .0000 00 ,0000 .00 .00 136 SO US) n:: 166 FORMS SE'l"l'E:R 1/14/200S .50 1) 0001.1 9 so 19,5000 . 00 .ilOilO .00 .0000 ,00 .0000 .00 ,00 :tn.75 4.153 TX 166 FORMS SIi."l"r£:.lt 1/151::\005 . 00 11 0000 a.50 19.5000 .00 .00(:0 .00 .0000 .00 .0000 .00 .00 165,75 EMl'LOYBE 941<1.6 'TOTALS, HOURS 58.00 .00 ,00 871.00 OED AMNT OBDUCTION DESCRTPTON 40.00 125S EMI?I..OYEE DATA SC'HMIOOhI,L I'D BOX 82 SC'tlltR¥. n:: 97:,)/152-8646 TEAAY LEg NI'!' GROSS SS RU'MBER 352506655 MJUI'ITAL STATUS, 2 EXEl'!PTIONS: 7515& EMPLQ¥EE NO., 94203 ETHNtC oooe C MALESEX TAX GROSS F. I .T. CHi!'!CK NtlMBBRS: aIRE DATE FICACaI) F!CA(OASDIj l!6H57 11/13/03 5,0.1 5.\I.T, STATE TAX CITY TAX D>'TY ThX tmION DED. Iuse. DED. NET PAY OCC'lJP. .00 1.237.50 WORK CLASSrr!CATION 128.25 75.98 PATE 17.71 11lR 1RT .00 2HR RT .00 lIR 3. RT .CO HR RT .00 5 HR 5 ,00 RT PAY CODE ,00 VACATION 104 31 F.ARNTNGS 911,19 4131 11)7 1137 4137 (1)7 'l"X 342 CRAm: Ol':£lIATOJ'I. 'l"X 312 CRAm: OPElIATOR 'l"X 312 CRAm: Ol'ElIATOR '1X 142 ClVINE OFElIATOR '1X lU CRANE OfERA TOR 1/10/2005 1/11/200S 1/12/2005 1/12/200S 1/14/2005 10 00 10 00 10 00 10.00 .00 22. SOOO 22.5000 22,5000 22,5000 22.5000 ,00 .CO .00 .00 :La 00 1:1.7500 .u, 7500 33.'1500 33.7500 33.7500 .00 .00 .00 .00 ,00 .0000 .0000 .0000 ,0000 .0000 .00 .CO 00 .OC .00 .0000 .0000 .0000 .0000 .0000 .00 ,00 .CO ,OC ,00 ,0-0-00 .0000 ,0000 .0000 .0000 .00 .00 ,00 .00 .00 .00 ,00 .OC .00 .00 226.00 225.00 l::!.5,OO 225, 00 )37.50 EMPLQYES 94203 'tOTALS 1 HO'IJR,S 50.01,'1 .00 .CO 1,237.50 ORO AM1iT 92.31 DEDUCTION DE:SCR:IPTQH CHILO 􀁓􀁕􀁾􀁐􀁏􀁒􀁔􀀠OED 􀁾􀀠12.0il DeDUCTION DESCRIVTON 125S , MCP254 2/01/05 11;26:18 1/16/05 CER'!' P/R ARCHER WESTERN CO!;"'l'RACTORS, LTO, C E R T I FIE 0 PA':(ROLL PROJECT PAGE 15 ?2? W ADAMS S'f'l/.£F;1' WEEK ENOING ArapahO Road Phase III 1/16/05 CHICAGO. n.. 60607 JOa Nt1Mil£S. 􀀲􀀰􀁾􀀰􀀵􀀹􀀠EMPLOYEE DATJ\, CW\,VEil ADOLFO ss NtJMBE:R 4;44801225 MARITAl. STATUS: :.: EXEMJl'l'IONS! • U33 WESTRIDGE APT h EMPLOYF-E' NO, $144.52 FORT WORTH, TX 76116 EnffiIC CODE S CHECK !;"'UMBERS, 264418 817/732-21S7 SO: HALE RIRE 􀁕􀁁􀁾􀁅􀀠03/08/04 N/T GROSS TAX CROSS F T. FICA(ltIi FICA ICAS(1) S.D,1 S.O'.:L STATE TAX CITY TAX CH'!'YTAX UNION OED. MISC. DEO NET PAY .00 670.00 1),49 4.O.eo li 54 .00 .00 _.._ U.OO '9•. ".OCCI,lP. WORK CI.ASSUICATION DA'" lllR IRT 2HR 2RT :lInR HT "' RT S JUt 5 RT 􀁐􀀱􀁬􀀮􀁾􀀠CODE VA.CATION eARNINGS 4126 TX 172 COMMON t.A801tER l/lO/200S 10.00 10.0000 .00 1:'.0000 .00 20.0000 ,-.0000 ,,-.0000 .," 100,CQ 4126 n; 172 COMMON IAJlOlU::R l/II/2005 10,00 lO.OOOO .00 15.0000 .00 20.0000 ,10 .0000 .0000 .00 00 100.00 4126 'IX 172 COMMON LABORER 1/12/200.5 200.5 10,00 lO.OOOO .CO 15.0000 .00 20.Moo .0000 ,01 .00130 .00 lJlO.OO 4126 TX 172 cO!+tON tABORER 1/13/2005 lO.OO 10.0000 ,00 15.0000 .00 20 0000 .," .0000 .01 .0000 ,-.," 100.00.. ,4126 TX 172 COMMON tABORER 1/14/2005 .00 10.0000 10.00 15.0000 .00 lO 0000 .0000 .00 ,0000 ,00 􀁾􀁓􀁏􀀮􀁏􀁏􀀠4126 TX 172 COMMON LAllORER 1/u/20a5 .00 I(LOOOO B.OO 15,0000 .00 200000 ,DO .0000 ,00 .1)000 ,00 lZO.OO." EMPLQ'iEE 944$2 '1'OTALS, ROlJRS 59.00 ,-," 6"10.00 OWV AHNT DEDUCTION nESCRIP!ON 􀁬􀁾􀀬􀀠00 125S EMPLOYE:& DATA ,CIlSTILL.() VI""", 55 NUMIIl!R .547102317 MARITAL STAnIS: 􀁾􀀠EJo:EHl?TIONS: 1JlS CALDWELL AVW..n:: EMPLOYEE tlO. !l4718 DALI,AS, TX 75223 £"l'l!NIC COVE 5 CHECK t-.1JMeERS, 264411 􀀲􀁬􀀮􀀴􀀯􀀤􀀲􀀱􀁾􀁡􀁅􀀲􀀵􀀠,.,; "AL, HIRE PATE OB/10/04 N/T GROSS TAX GROSS F.I T. nCA(HI} FICA IOASOI) $,{).I S.U, X. STATE TAX erN TAX CI'iT't TAX WIOl>l OED. MISC, 0l:."V. NET PAY ,00 632.50 4:1.>63 38.4.7 !I 00 .00 ,00 ,00 .00 .00 􀁾􀀲􀀠00 S31.4.0,-OCCUl? WORK 􀁃􀀢􀁾􀁓􀁉􀁆􀁉􀁃􀁁􀁔􀁉􀁏􀁎􀀠""T£ :I.HR ::.RT 2HR 2R'!' 3HP. RT " sa RT S HR 5 RT PA.Y CODE VACATION eARNINGS 􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀭􀀭􀀭􀀭􀀭􀀭4126 TX 172 COMMON t.A.E!ORER 1/::.0/2:00.5 10.00 􀁾􀁣􀀮􀁯􀁯􀁯􀁯􀀠.00 15.001'10 ,00 2.0 0000 ,DO .0000 ,II .0000 .DO ,GO 􀁾􀁏􀁏􀀬􀀠00 4126 'IX 172 COMMON l..ABOR2R 1/11/2005 :I.O.OO 10.00(1(1 .00 􀁾􀀵􀀮􀀰􀀰􀀰􀀰􀀠.00 20 OOOC .00 .0000 ,II .0000 ,II .GO 100 00 4126 '.t'X 172 COMMON LABORER :1/12/2005 9,00 􀁾􀁯􀀠0000 .00 15.0000 .00 20 0000 .DO .0000 ,co .0000 ,II .DO !lO.OO 4126 TX 112 􀁃􀁾Ll\.SORF.:R 1/13/200S 􀁾􀁏􀀮􀁑􀁏􀀠10.000(1 .0(; Hi 0000 20 0000 .00 , 0000 .00 ,0000 .0' .co 100.00,4l.l6 TX 172 CO!'MAN 1/12/2005 11.00 17 0000 .00 25.5000 .DO 1<4 0000 .DO .0000 ,00 .0000 ,00 ,DO" 187 00 􀀱􀁾􀀴􀀰􀀠't$ PIPE 􀁆􀁏􀁾􀀠1/13/2005 8.50 17.0000 2 50 25 500Q .DO H 0000 ," ,0000 ,DO .0000 .DO ,GO 20Q.2S 4140 't$ PIPE l"'OREMA.N 1/14(2005 ,00 11.0000 11.00 250 5000 ,DO 34 0000 .DO ,MOO .DO .0000 .DO ,DO 280 SO 4140 'l'X PIP€ roPEMAN' 1/15/2005 00 17,0000 I> SO 25 50000 ,00 34 0000 ,DO .OQDO ,DO .0000 ,DO ," a6,1S EMPLOYEE 94752 TOTALS 􀁾􀀠HOURS 62.00 .DO ,DO 1,24:1.00 OED AMN7 DEDUCTION DESCRIP'l'ON 40.00 􀁾􀀲􀁓􀁓􀀠 f"CP2S4 􀀲􀀯􀀰􀁾􀀯􀁯􀁳􀀠􀁾􀁾􀀬􀀲􀀸􀀺􀀱􀀤􀀠􀁾􀀯􀀱􀀶􀀯􀀰􀀵􀀠CP.R'l' Ph!. ARCHER WES'l'SW CONTRACTORS, LTD. CERTIFIED PAYROLL PRO J E C T PMY. 17 929 W ADAMS STREET HEru £UOING Arapaho Road Phase III 1/16/05 CHICAGO. ;u, GOGI)7 Joe NOMS£R. 204059 EMPLOYEE OATA PEREZ VALENTIN OOM:tNQ 2673'9240 MARITAL STATUS, 1 EXEMPTIONS; 55 """"" 2n2 BERRYlfILL EMPLOYEE NO,; 94753 FORT WORn!, 'l'X 76105 ETHNIC CODE M CHECK NUMBERS 􀁾􀀠2S1H5 81."1/5)5-7929 SEX MALE HIRE DATE 09/09/01 N/T GROSS TAX GROSS 􀁾􀀬􀁬􀀮􀁔􀀮􀀠FlCA(HI) P"lChiOASOn $,D,I S.U.I, STATE TAX CI'l'Y TAX tmlON DED. MISC, oeo, NET PA.Y""'" TAX .00 110.00 􀁾􀀰􀀱􀀮􀀴􀀰􀀠45.26 .00 .00 .DO .00 .00 4000 566.75"." OCC'JP. WORK CLASSIfICATION DATE D a:2 Hit a 3 Hit lP.T Nit 4 RT 5 HR S RT PA.,( CODE VACATTON EARNINGS 􀀴􀀱􀀳􀁾􀀠TX 205 PlPElJ\.YER 1/le/200S 10,00 14.0000 ,00 21.0000 .00 23 0000 .OQ .0000 .00 .0000 .11 .00 140.00 4119 n: 205 PIPE-LAYER l/n/2oo5 􀁾􀁯􀀠00 14.0000 .00 21.0000 .00 28 0000 .11 .0000 .00 .0000 .M .CO 140.01') 4U9 'l'X 205 PIP£LA'iER 􀁾􀀯􀀱􀀲􀀱􀀲􀀰􀀰􀁓􀀠􀁾􀁏􀀮􀁏􀁏􀀠14.0000 .00 21,0000 .Oll ::3 0000 .00 .0000 .1' .0000 .M .,. UO,OI) 4119 TX ;):05 PlPCtJ\YER 1/13/200S 10.01) 14,0000 ,00 21.0000 .00 25 0000 .11 .0000 .11 .(001) .00 .M 140 01,1 4139 TX 205 PIPln:...YER 􀁾􀀯􀁾􀀴􀀯􀀲􀀰􀀰􀀵􀀠.00 14.0000 10.00 􀀲􀁾􀀬􀀰􀀰􀀰􀀰􀀠.0 0 211 0000 .11 .0000 .11 ,0000 .00 210.00" EMPLO¥EE 94753 'l"O'l'1U.S i HOURS 50.00 .CO .00 110,00 OED AMNT O£Oi.1CT!ON DESCRJ:P1'OH -1.0.00 l:lSS EMPU;l'U;E (lATA 􀁂􀁒􀁏􀁾􀁾􀀠TERRY L. 5S NtJ\I'IB£R 437239659 MARITAL S'!'AT'JS! 2 EXEMPTIONSt 􀁾􀀰􀀲􀀴􀀠SAl'mINA DRIVE mpLO'tEE NO.' 947S4 MESQtr.rTE, TX 􀀷􀁓􀁾􀀴􀀹􀀠ETHNIC CODE B ca:eCK Nt.!'MBERS, 264415 !nU2!!9-6S92 sex MALE HIRE DATE 09/09/04 N/T GROSS TAX GROSS F.L'L FICA/HI) FlCA{OASDlj S.D,I 10,1.1.1. S'IA".t':e TAX CITY TAX om TAX tmlON OED. MISC, OED. NET PA'J ,00 􀀹􀀲􀁾􀁌􀀠50 S9." 55.15 1.2 90 .00 .00 ..oo .0000 IH.I' _ .•3 occt.'!', WORK CLASSIFICATION DATE 1. HR 􀁾􀀠R'1' 2 HR RT HR itT 4 HR 4 itT 5 KR 5 RT PAY com: V),CATroN EAtUIl"IOOS 4U9 'l'X 205 PIPELA'(£R 1/10/200S 10 00 13,0000 .00 19,5OOO .00 26,0000 .00 ,0000 .11 ,0000 .11 .M l30.00 4.139 TX 20S PIPELAYER 1./11/2005 10 50 1),0000 .00 19,5000 .00 26,0000 .00 ,0000 .00 ,0000 .M 13&.50."4139 TIt 20S PIP:aIJI.'(ER 1/12/2005 1050 13.0000 .00 19,5000 .00 26.0000 .00 ,0000 .00 ,0000 .11 1l6.50."4139 TX 20S PIPElA,(ER 1/13/2005 900 13.0000 50 19.5000 ,00 26 0000 .DO ,0000 .CO ,oooa .M .00 U£.25 4n9 'ti lOs PIPELAYER 1/14/2005 .00 II 0000 11,00 􀁾􀀼􀁪􀀠5000 ,00 2£ 0000 .00 .1,1000 .00 .0001,1 .11 :14 so."41.19 'l'X 20!l PIPELAYER 1/15/2005 00 13 0000 􀁡􀀬􀁾􀁯􀀠19.5000 .00 26 ODOO .DO .0000 .00 .I)I}OO .00 .11 165.75 EMPLOYEE 94754 TOTAl>S, 1l:0tmS &1,00 II .0'1 929.50 OED 1IMNT OEDUC"l'!ON DESCRIPTON Dim AHNT DEDUCTION OESCRIl'TON ".23 CHILO SUPPORT ·HI. 00 125S ---•• • • •,• "􀁾􀀠u · rl W W 􀁾􀀠􀁾• 􀁾􀀠Z 􀁾􀀠0 , rl ci 􀁾􀀠H 􀁾􀀠••" • I>l 0"!il Pl.:!:"':': 􀁾􀀠􀁾􀁮􀁊􀀠􀁾􀀠􀀸􀁾􀁥􀀻􀀮􀀺􀀺􀀠· M M " •0 z 􀁧􀁾􀀠Q· 1: rl " 􀁕􀁾􀀠0 0 " 8 i 0 0 􀁾􀀠QOOoOo 00001110 .n.,j";"';"';"';,. ,MM,..,OIP "";,",";..-!<'1rl o. o. 􀁾􀁾􀁧􀀺􀀻􀀠00 0000 o Q 􀁃􀁃􀀻􀁾􀁑􀀮􀀠000000 00000<:> , 0<;1000.., • , 􀁾􀁑􀁑􀀢􀀢􀀺􀁯􀁯􀀠m 000000 " 0C>"'000 0 ow , 000000􀁾􀀠000000 0<:>0000. ·, 000000 -,0 · 􀁾􀀠0 U 0 0 •0 • • Q 􀁾􀀠! 0; ·• 􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠> ". 􀁾􀀠W " 􀁾􀀠" rn QOOOOO QOOOOO 􀀢􀀬􀀺􀁾􀁏􀀧􀀺􀀺􀀬􀀬􀀡􀁏􀁾􀀠H "lll>oJ\lJI,....,... ..,..,."' .... 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"" MCP::i:S4' 􀀲􀀯􀀰􀁾􀀯􀀰􀀵􀀠U:2S;1S 1/16/05 CERT plR ARCHER WESTERN COtrrRACTORS, LTD, CERTiFIED PAYROLL PROJECT PAGE: 19 929 I'l ADAMS S'l'R:£:E."l' I'lEEX E!roING Arapaho Road Phase III 1/1(/1)5 CHICAGO, IL 6OGe? JOEl NUMBER. 204059 mpLOYEE DATA l.O:&'£2 􀁾􀁎􀁬􀁴􀁉􀁑􀁕􀂣􀀠S9 NUMBER 455632527 MARtl'AL STATUS, 2 EXEMPTiONS: 9006 stJGARBERRY ROAD EMl'LOYEE NO, 94a25 DALLAS, TX 75:<'2.. £nlNIC COOE 5 CHECK HUHBERS, 2644:)S 97Z/709-4656 SP.X MALE HtRE Dl\TE 10/13/04 NIT GRess TAX GUOSS F,I,T. FICToiH:ri nCTo(OASolj S.D.! S.U.I. STATE TAX CITY TAX CNl"t TAX UNION OED. MISC, OED. NET PAY ------._--􀀭􀁾􀀠-􀁾􀀠---------􀀭􀀭􀁾􀀭􀁾􀀮􀁾􀀠􀀮􀀭􀀭􀀭􀀭􀀭􀁾􀀠􀁾􀀠􀁾􀀠.00 90,00 ... s.sa .31 .00 ,00 .00 .00 ,00 .00 .00 6).11 aecu'? 'h"ORK CLASSIFICATION DAn: 1 HR 1 RT 2 MR 2 RT HR 3 RT 4 HR RT 5 MP; 5 RT PAY CODE VACATION EARNINGS 43.26 TX 112 COMMON UlBORSR 􀁾􀀯􀀱􀀰􀀯􀀲􀀰􀀰􀀵􀀠10,00 9,0000 ,00 13,5000 .00 1-8.0000 .CO .0000 .00 .0000 .00 .00 90,00 EMPLOYEE 􀀹􀀴􀀨􀁪􀁾􀀵􀀠TOTALS: HOURS 1.0.00 .00 .00 SlO.OI'l EMPLOYEE OATA RAMIREZ ERHESTO ss NtlMBET{ 451;1!)4707 MARITAL STATUS, 2 EXEM:'TiON9; 2826 CANllIERRA S'lREET EMPLOYEE NO.' 94829 DALLAS. TX 75Z21 £'tUNiC COOE M CHECK NUH8ERS, 264446 2:14/!M2-5321 SEX MALE Hl:RE Dl\TE 1-0/13/04 N/T GROSS TAX GROSS F.I.T, FICAHtt} FICA (OASOI) S.O,!: s.u. ], STATE TAX CiTY Tt.X CNTY TAX 'UNION DED. MISC. DEO. HET PA't .00 8(;4,50 64.87 53,60 UN .H" .H .00 ,00 .00 .oe '/J3 􀁁􀁾􀀠OCCUli'. I'iORX CLASSiFICATION DATE lHR 1-RT 2HR 2RT .lHR 3RT 4HR RT 5 HR 5 RT PA't com: VACATION EARN"'" 4U5 TX )69 LOMlER OPERATOR 1/10/2005 20.50 14 0000 ,00 a 0000 .M 28.0000 , 11000 .00 , 0000 ,co .00 147,00." 4135 TX 359 LOADER OPERATOR 1/11/2005 1-0.00 1-4,0000 .00 Z1 0000 .M 2:6.0000 .00 ,01l00 ,0000 .., 140.00." ." 4lJ5 TX 369 LOADER OPERA'roR 1/12/2005 1-0 50 1-4,0000 . !HI 21 0000 .0' 28.0000 .0000 .0000 ,00 .00 147.00." ."4U5 TX 369 LO.IlDER OPERATOR. 1/13/2005 9,00 14.0000 1.50 21 0000 .00 2a,0000 ,0000 .0000 .00 .00 IS? .51l." ."4135 TX 369 LOliD£R OPERATOR 1-/14/2e05 .00 1-4 eoee 10 50 n.oooo .00 2&.0000 0000 ,0000 . 0000 .00 00 2:£0.500." ."4135 TlC 369 LOADER OPEllATOR 1-/15/2005 .00 14 .0000 2,SO 21 0000 21>'0000 00 .0000 .00 .0000 .00 ,00 S2,5C." EMPLO't&& 94829 TOTALS 1 HOURS 54,50 .00 .00 864,SV 􀁾􀁰􀁴􀀮􀁏􀁹􀁡􀁯􀀺􀀠DATA MORALl':S 1'0:011.0 EItl'ltOOS ss NtlMBER S9S555590 MARI'l'AL STA'l'US, 2 EXnolPTIONS, 612 EIIST !in! APT C l\'.MPLO'tEE NO.' !J4837 DAL!.J!.S. 'IX 75203 E'lltNIC CODE M OtECK 􀁴􀁲􀁾􀁒􀁓􀀺􀀠2644U 214/942-6903 SEX MALE HIR.£ DATE 10/19/lH NIT GROSS TAX GROSS F,I.T. FICA{Hii FICA (OASDt) S.O.I S,V,I. S'I'ATI'i:: TAX CITY TAX CNTY TAX UNION :otro, Mlse. DEO. NET PAY .00 74<\,25 3'1.60 41l.14 20.79 .00 .00 .CO .00 .00 .00 "49,72." OCtt1P. WORK CLASSIFICAT10N OAT. lUR 1RT 2HR 2RT HR 3 RT HR RT 5 HR 5 RT PAY COOS VACATION' ENtNINGS U39 1'X 205 PIPELll.:t£R 1/10/2005 10 00 13.0000 ,00 29.5000 . Oil 2;,0000 ,0000 .00 .00000 .00 1.30 DO." ."U39 TX 205 PIPELll.:tER 1/11/2005 10 00 1),0000 .00 19,st;00 .00 2G.OOOO .00 •0000 .00 .00000 .00 .00 130 00 --------------I4.CP2S4 • 2/01/05 110211>18 1/16/05 CERT plR ARCllER WESTERN CI:»<"TAACTORS, I.tJ:1), C E R T I F lEO PAYROLL PROjECT PAGE :110 U9 Ii' ADAMS STREET W££K ENDING Arapaho Road Wta$1e :r:r:r 1/16/05 CiUCAOO, IL 60607 .toa mJXaE1t. 2040551 occup, WORK ctJ;.SStnCATlDN DATE 11!R1RT2HR2RT HR RT ,. HR RT5BRSRT PAY OODE VAC!A7'lON 􀁾􀁬􀁎􀁃􀀤􀀠4129 TX 205 E'IP£tJ\.\"D. 1/12/2005 5,00 13.COOO .00 19,5000 .00 26,0(01) ,co · 0000 .00 .0000 .00 ," 6S 1,\0 􀀴􀀱􀁾􀀹􀀠TX 205 E'IPELI\YER 1./13/2005 5 00 13 0000 .00 19.5000 .00 26.0000' .DO .0'0'0'0 .00 .0000 ,00 .00 5S, I)() U)9 TX 2C5 PIPEW\,Y£R 1/1.4/2005 10 00 13 0000 J.50 H.5000 .00 2(;,00OD ,001)0 .00 .0000 .00 .00 1.98 25."4119 Tl( 205 l'tPEt.J>.'fER 1/15/2005 ,CO 13 0000 a.cc 19.5000 .00 26,00DD .OODO ,0000 .00 .00 1.56 00." ," SMPOOYEE 9483.7 TOTALS; HOURS S1. 50 ,00 ,00 144.25 EMl'LOYEE OATh 􀁓􀁬􀁜􀁴􀀧􀁬􀁣􀁡􀁅􀁚􀁾􀁌􀁏􀁐􀁅􀁚􀀠􀀺􀁲􀁾􀁉􀁓􀁃􀁏􀀠5S NUMBER 23981.3791 MARITAL STh'l'tlS; 2 Unttvt'IONS, 3030 SHADOW WOOD DRIVE EfolPLOY££ NO,; 94838 [)A!,LI\S. TX TX '7S22<1 E'l1UUe COm: M CHECK NUHBERS 􀁾􀀠2(jH53 972/27!H)279 SEX MALE lURE DAn: 1.O/U/tH NIT GROSS TAoX CROSS P,IT. rICI\{HI) FICAiOASt'l:r) S,D,l S.U.I. STAn: TAX ern TAX CNn TAX l..'NlON O£O. MISC. £lEO. NET PAY 􀁾􀁾􀀠,00 715.63 II ,)1 ,*<\.3.7 1-0.l8 .00 ,co .GO ,00 ,00 ,co ,00 627,57 OCCUP. HORK CLI\SS:rF1C1\'1'lON DATE , HR RT 2 HR 2 RT 3 HR RT4MR.4RT HR 5 RT PAY COO:: VAC1lTrOO EARNINGS 413.9 Tl( ::!OS PIPELAY£R 1/1.0/2005 10.0'0' 12.5000 .DO 18.7500 .00 l5.0000 .OC .0000 .00 ,0000 ,00 ,00 125,00 ..13S TX 20S PIPBLAYER 1/11/2005 10.00 12 5000 .00 15 7500 .00 25.01)00 .00 · 0000 .00 .0000 .00 .00 125.00 oUH TX 205 P1PElJ1YER 1/12/20D5 5.00 12.5000 .00 HL7S!)0 .00 25.1)000 ,00 · (1)00 ,00 .0000 ,00 .00 62.50 413.9 TX 205 PIPEt.J>.YER 1/13/2005 5,00 12.5000 .00 l.E SS NUMl:IER 632724826 AARITA!. 􀁓􀁔􀁁􀀱􀀢􀀮􀀮􀁬􀁓􀁾􀀠1 :CXSMPTIONS! JClD S!il\DOW 1'>'000 ORIVe atPI.O'fE& NO. 940 639 DALLAS. '!'X 75224 E"rHNl:C COPE M OIECK NlJM1!F.RS: 2£4454 912/279-02'19 SEX HALE :H:lR£ DkTE 1.0j19jD4 N/T GROSS TAX GROSS Ii 1.'1'. FlCl\(fII) nCA!QAS01) S.D,1 S.U,X, STATE TAX CITY TAX 􀁃􀁾􀀠TAX UNION OED. MISC. DED. NET PAY ,00 '115.53 74.35 44..37 1.0 3& .CO .00 ,00 .00 .00 .00 ,00 596.52 OCCUP. WORK CLl\SSIFICATION OATE HI< 1 R'l' HR 2 RT HR itT " HR R1" .s Hi! S RT PAY COOf: VACATION 􀁾􀁉􀁎􀁃􀁓􀀠4139 'N: 205 PIPEIJl.YER 1/10/20I1S 1.1),00 u SOOO .110 1.8.7500 ,co 25.0000 ,DO .0000 .00 .0000 . 00 ,00 125 00 4US 'N: 205 PIP£t..AY£R 1/11/200'5 1.0.00 n SCCC .00 18,'1500 .M 25,0000 ,GO .0000 .0000 . 00 .00 125 01,\,"4139 TX 205 PIPE1J\.Yl':R 1/12/20DS 5.00 12,5000 ,00 18 'I5DO ,co 2S.01)00 ,co .0000 .00 , (1)00 .00 ,00 62,50 4139 1'X 205 FIP£tJI.Y8R 1/13/2005 5.00 12 ,50i:l(1 .00 18 '1500 .M 2S OOOD ,00 .OODO ,00 , 0000 ,00 ,00 (;2.50 413-9 n:: 205 PIP8LAYER 1/1.4./2005 1.0.00 1.2 500'0 3 50 U 'I5!)0 25 000i) ,co .0000 ,00 . 01)00 .00 .M 190.6)." 4119 1'X 205 i'IPEtJ\.YER 1/1.S/2005 ,00 II 5(01) 8 00 18 "l50D .M 25.0000 .00 .0000 .00 . 0000 ,00 .00 1.50.00 SMPLOYEE 􀀹􀁾􀀸􀀳􀀹􀀠'!'O'l'AUl; HOURS 501, SO ,00 ,00 715. &3 L!CP254 2/01./05 11,21.1,18 1/16/05 CERT P/R Afl.(,'IIER !iESTf:1!N CON"l"PACTORS, LTD. CERTIFIED PAYROLL PROJECT PAGE: 21 929 W ADAMS entER'!' !iEE:K Eml!NG Jlil:'apilho ROild Phase III 1/16/05 CHIaGO, tL 60;:;07 JOD NUMBER. 204055 EMPLOYEE DATA ----------. SA.NCX£Z RAUL SS N'JMBER 631761600 MARITAL STATUS, 1 I':Xi.':MIn'IOHS: )0)0 SHADOW WOOD DRIV& £MPLO'IEE NO, 9"11$40 OlU.LAS, 1'.'< 75224 h'1wnC CODE M C'JiSCK N'UM9ERS: 264455 214/942-0096 SEX MIlLS HIRE nATE 10/19/04 N/"r $tOSS TAX GROSS F.I.T. FICA{:HI} nCA(OASDI) S.D.I S,U.I, STATE TAX Cl't¥ TAX CNl'Y TAX UNION 0110. "1ISC. DE:D. NET PAl( .00 909.50 152.28 56 .39 II 19 H .11 .00 .00 .00 .00 6e7.Y4.. OCCt]P , 􀁾􀁾􀁒􀁫􀀠CLASSIFICATION nArE 1iR 1 RT Hili 2 RT 􀁾􀀠1 􀁾􀀠4 U RT S HR 5 RT PAY CODE VACATION :sJ'\R..'UNCS 4140 Tit PIPE FOR:&MAN 1/10/2005 10.50 17,0000 ,00 25 5000 .00 31.0000 ... .0000 .00 .0000 .00 .00 178 SO 41.40 TX PIPE FOREMAN 1/11/2005 10.50 17.0000 .00 25 5000 ,00 34.0000 .00 .0000 .01 ,0000 .11 .01 1'7<1.50 4140 TX PIPE FORE:MAH 1/12/2005 5,50 17.MOO 0& 25,5000 .00 34 0000 .00 .0000 .11 .0000 .11 .11 9). SO 4140 TX ?IPS FOREMAN 1/13/:l:0QS 5.50 17 0000 ,00 25 5000 .00 34.0000 .00 .0000 .11 .0000 .CO .00 93 50 4110 '!'.l\ ?IPE FOREW'di 1/14/:l:005 S.OO 11 0000 ;; 00 25 $000 .00 34.0000 .11 .0000 .00 ,0000 .01 .01 2:89 00 4140 '!'.l\ P!PE: FOREl\tAN 1./15/2005 .00 11.0000 3.00 2!,5000 ,00 14.0000 .11 .0000 .GO .0000 .01 71> 50." i;:MPLOYEE 94840 'tOTALS, IIOURS 4lt.OO .01 .CO 90lt.50 SMPLO'tEE DATA LOpez JOSE ENRIQUE SS Nt!MBE:R 630090179 MARITAL S'l'AT1.1S, 2 EXeMPTIONS, 3022 SHAOO!i !iCOD nRIVE: W.PLO'lEE HO.; SU41 DALLAS. TX 75224 En1tnc CODE M CU;;;CK N"".'MBE!CKHOE OPEAATOR 1/10/200S 10.50 14.0000 .00 21 0000 .00 28 0000 .11 .0000 .10 .0000 " .11 141.00 4136 Tit 342 BAC!QiOE O?eAA1."OR 1/11/2005 10.00 14 0000 .O{') 21 0000 ,01) 2S 0000 .00 .0000 .CO .0000 ... .11 140 00 4.1.36 '!'.l\ 342 DACKHOE OPERk1."OR 1/12/2005 5.50 14 0000 .00 21.00no .00 28 0000 .GO .0(1)0 .00 􀀬􀁏􀁉􀀩􀁏􀁾􀀠... .11 1'1 00 4136 '!'.l\ 342 BACKHOE OPEAATOR 1/1.3/1005 5.50 14.0000 .00 Zl.0000 ,(1) 2a 0000 .00 .0000 ,0000 .01 ... 11.00."'1136 'l'X 342 BACKHOE OPERZI.'rOR 1/14/200'5 I). SO 14 0000 1S-50 :n. 0000 .00 28 0000 .00 .0000 .00 • (01)0 .00 .11 234.50 EMPLOYEE :94841 'I'O'l'ALS: HOURS 45.50 .11 675.50" DEn J\MN'T DED1JC'l'ION OESCRlPTOH 40.00: 125S MC?2!>4 . 2/01/05 11,28:18 MelleR WESTERN Ct)N1'W\CTQRS, LTD. C E R T 1 F ). E 0 PAYROLL !l2'9 H AOAfolS STREJn" WEEK ENDING' 1/16/05 CH1CAGO, IL £!)G!)'I EMPLOYEE DATA amz JESSE SAN':i:'1I. SS NlJMUER 45:!H,!t!tBS'l MAR1TAL STATUS, 2 exEMPTIONS; 9 1511 HOftSEWAY DRIVE AP'l' 1202 EIltPLOYEE NO.· 94858 ARL1NGTtlli, TX 'I{;012 E'J'HNIC CODE S CllECl{ NUMBSMI ::1.64<:2) 􀀶􀀱􀀷􀀯􀀷􀀹􀀵􀁾􀀳􀀿 􀀷􀁓􀀠SEX MALE HIRE DATE 10/25{04 N/'!' GROSS TAX GROSS F,I.T. FICI\,{Hl} FICA (OASDII S,D.I $,V,l, STA'rE 'tAX crrY TAX 􀁾􀁾􀁾􀁾􀁾􀁾􀀭􀀭􀁾􀀭􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀁾􀁾􀁾..􀀭􀀭􀀭􀁾􀀭􀀭􀀭􀀭􀀮􀀭􀀭􀁾􀀭􀀮􀀭􀀭 􀀮􀀭􀁾􀀭􀁾􀀮􀁾􀀭􀀮􀁾􀁾􀁾􀀭􀀭􀁟.._-􀀭􀀭􀀭􀁾􀁾􀀠􀀭􀀭􀀭􀀭􀀭􀁾􀀭􀁾􀀠􀁾􀀠􀁾􀀮􀀠􀁾􀀠􀁾􀀭􀀭􀀭􀁾􀀭􀀭􀀭􀀭􀀭-. 􀁾􀀠OCCUP. .00 1, :.173.00 'WORK CLASSIFICATl:ON '10. "16 "19.91 ""no U 16 .lHR1RT .00., , 'T .00 HR RT .00 , ;0. RT .00 5 ". 􀀭􀀭􀀭􀁾􀁾􀀮􀁾􀀭􀀭􀀭􀁾􀁾􀀮􀁾􀁾􀁾􀀮􀀭41-1'1 TX 342 CRJi.N£ OPERATOR 1/10/2005 10 00 :1'9.000C .00 28.5000 .00 36,0(l(l(l .00 ,0000 .00 413'1 TX 342 CRANE OPERA'fOR 1/n/2005 10 00 U.()(lOo 00 26, 􀁾􀁏􀁏􀁏􀀠.00 le,OOOO ,00 .0000 .00 413'1 7X 342 ClI.ANE OPERA'.t'OR 1/12/2005 , 00 19.00i1\1 .00 28.5001'1 .GO l8.0000 .00 .0000 .GO 41.3'1 TX 142 CRANE OPERATtlk 1/13/2005 10,00 19.0000 .00 28.5000 .00 38,0000 .00 .0000 .00 41.3"1 TX 3U CRANE OPERATOR 1/14/200S ,LOO :1!LOOOO '00 28 5000 ,00 lS.{1QOO .00 , (l000 .CO U3""1 TX 342 CRAm: OPERATOR :1/1S/2005 " U,tititiD 9.00 2.L500,) .CO lS.OOOO .00 ,0000 .00 J:MPlJ)YEE 9-46$6 TOTALS 􀁾􀀠HOURS " WORKERS THIS PROJ&C"r CROSS THIS PROJSCT (mOSS ALL WORK TOTAL Df:O\JCTIOIiS NET PAY la, 49""1,80 38,49""1 ,go ?, 264 ,89 :n, 0'::1I2,!I::l PROJECT Arapaho Road phase In 􀁊􀁏􀁾􀀠NUMBER, 204059 CNTY TAX WI-Oli DED. MUC. .00 .00 5 RT PAY CODE: VACATION .0000 .DO .00 .0000 .00 .00 .ooon , ODOO • 0000 .00 .00 .00 .00." .00 .0000 .00 .00 58.00 .00 .00 TOTAL HOURS 􀀲􀀬􀀩􀀵􀀱􀀬􀁾􀀰􀀠.00 1/16/0S aRT FIR. PAGE 22 OED. NET PAY .00 1.,104. as £ARN!HGS 1.90 00 190 00 152.00 190, DO 294 so 256 50 1..2"/3.00 .CO ARCHER WESTERN CONTRACTORS LTD CERTIF!EO PAYROLL-STATEMENT OF COMPLIANCE "929 \of _ AOhMS 􀁓􀁔􀁒􀁅􀁾􀀠WEEK £N!)'ING; 1./1.6/05 PROJECT, Arapaho Road Phase 1:1:l CHICAGO, !LLINOIS 60G07 JOB NUMaER, 2040$9 WEEKLY STATEMENT OF COMPLIANCE ?/t)1./05 I, hf.?p /d;u.E.e PAYROLL MANAGER, DO 􀁈􀂣􀁒􀂣􀁅􀁾􀀠STATE I THAT I PAY OR SUPERVISE THE PAYMENT OF THE PERSONS EMPW'lEO By{AltC'HER HES't'E.RN CONTIU.CTORS LTOl FOR WEEK ENDING! l/16/05} ALL PERSONS EMPLOYED ON SAIO PROJECT HAVE :aEm PAlO THE l'V!..L WEEKLY WAGES EA.RN'ED, mAT NO R£BATES WlVa BEeN PAD:: OR WILL tiE: HADE EITIU:R OIRECT!..Y OR IIi'tITRECI'LY TO OR ON BEHALF OF SAlD (AROl£R W::S1'ERN CON'l'RJ.C'roRS LTI>} FROM TIlE FULL WEEKLY WAGES .EARNED BY AN¥ ONE PERSON AND T'WlT NO ntmUCTIONS HAVE BEEN MADE E:I'ruER OrRECTl.Y OR INDIRECTLY FROM 'IRE l'V!..L W£:£:Kl.i WAGES :&JUlNE0 BY AN'{ PERSON, O'ruRR "mAN THE P£I'tMISS!BL£ OEDUCTIONS, AS OEFINtO IN REGULATIONS, PART J (29 CFR PART 3). 155000 In." 'ruE SgcRE:l'ARY OF LA.tIOJt UNDER THt: COPEloAND AC"t', AS AHEND£:O {48 STAT. 946, 63 􀁾􀁔􀀮􀀠1.08, 72 STAT. 967; 40 U.S.C. 267C) AND OE5CRIBEO EEUYw, N1<:CESSAAY FRINGE BEt>ti:FIT AS REQUIUo 1IY LOC1U. 􀁍􀁁􀁎􀁁􀁃􀂣􀁍􀁅􀁎􀁔􀁾LAbOR OR:GANIZATIOH AG1'I.SEMENTS PURSUEIfT TI> PUBLIC IAW "'" 􀀭􀀻􀀻􀁪􀁾􀁪􀁾/):1. :..􀀻􀁤􀀻􀀬􀁾􀀠C 􀁾􀁾􀁾􀀭􀀭􀁾􀁟􀀣􀀭􀀭(SIGNA'l"tJRli; AND TIT! ...... END OF REPORT ...... MCP254 2/01/05 11:25;25 1/09/135 CER'!' p/R MOlER HJr;S'!'ERN 􀁾􀁓􀁓􀀬􀀠LTO. CERTIFl£O PAYROLL PROJECT PAGE $In W AtmMS S'I'R.E£'l' WEl:l\ ENDING Arapaho R04d Phase IXI 1/09/05 CIIlCAGO, XL 60E07 Joe NUMBER. :L¢YfX DA'!'A. Gtn'IER.R.E:Z 55 N't.IMalCR 453755923 MAIUTI'IL S'!'AT'US: 2 EXEMPTIONS:",,,5()Je TiYrAloS: HOURS 28.00 ,00 ,00 3640,00 EMPl.QYEE DAm SANCHEZ ROLANOP 55 I'WHB£:R 4S099a46( MARl-TAL STATUS: 2 SXSMPTlONS, 5 3205 OSSN ROM EHPL01l€£: flO. 65098 FORT n'Olt'l1l, n: 76106 E'l1ltlIC CODE S OlECK NUMBERS; 26)227 817/626-0405 ,ex MA.!.i:! HIRE DATE 01/22/96 tilT CROSS TAX GROSS F.I,T. FleAtH!} FlCA(OASOI) $,0,1 S.U.I. STATE TAX CITY TAX CN'n'TAX UNIOH O£D. MISC. DEO, NET P1.Y 􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀭􀁾􀀮􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀭.00 396.50 ," 24.S8 S 75 .00 0000".. .00 366.17 OCCUP. WORK CLASSIFICATION DATE HR RT 2: HP. lIT KR 3 R!' 4 HR 4 RT S HR S RT PAY CODE VACATION EARNINGS 4115 TX l1e CARFENTER 1/06/2:005 10.00 15.250() .00 22 :SSOO ,00 .0000 ,00 £1£100 ,M . 0000 ,M ,00 152, SO m5 TX ue CARPENTER 1/07/2005 8.00 15.2S00 .00 22 8aol) ,00 .oeoo ," .0000 ,00 .0000 ,00 ,00 122.!i1i 4115 TX 111;1 CARPzm.'Zst 1/08/2005 8.00 15.2:500 .00 22 S1;I00 ,00 .0000 ,00 . OCCC ... .0000 ,00 ,00 122 !i0 E:HPLOYEE 6S098 TOTALS: llOUli!$ 26.00 ," ,II 3116.S0 EMPf..QYF.P. DATA CAACIA PP.ORO SS Nt1MiI.£R 467873263 MA.RrI'AL STATUS, 2: EXEMP'l'lO}fS, nOli FALL DRIVE EMPLOYee NQ,: iiS1l9 O!;,l"l"AS, TX 7S211 E'rnNIC COOS 5 CHECK t.'"UMB£RS, 26320'/214/2))-2:473 HIRE DATE 04/01191: SSX ""'Jt N/T GROSS TAX GP.!)SS F.I.T. FlCA (Ill) F1CJ;.{OASor) s.n,! S.U.1. S'rAT£ TAX CIT'! TAX' CN1'Y TAX UNION OED. MISC. DED. tlt7 PAY .00 180,00 78.08 47.1:2 11 14 .00 ,00 ,00 00 ,I' .00 11.0 =," OCCUP. wORK CLASSIFICATION DA1'It UR RT Nfl. RT3HP. RT 4. HR RT 5 lIR 5 RT PAY COOS VACATION SJUUlUIGS U1J TX c.u.PSN't'eR FOREMAN 1/04/2005 a.oo 19.5COO .00 29 2500 ,00 .1,1000 ,00 .0000 ,00 .1,1000 ,II ,00 􀁾􀁓􀀶􀀬􀀠OC Ull TX CARPSN'l"RR l-"'OREMAN 􀀱􀀯􀁏􀁾􀀱􀀲􀀰􀀰􀀵􀀠U 00 19.5000 ,00 29 2S00 . 0000 ,00 .0000 ,00 .0000 ,II ,00 􀁾􀁈􀀮􀁓􀁏,"4113 TX CAlU"EH'!'Slt FOREM1I.N 1/07/2005 11.00 19.5COC ,00 29 2S00 ,00 .0000 ,00 .0!i00 ,00 ,1,1000 ,00 ,00 U4.SD MCP254 2/01/05 􀀱􀀱􀀬􀀲􀀸􀁾􀀲􀀵􀀠1/09/05 CElt'!' P/R ARCUE'R We£TER."l CoN"!'RAC'!'ORS, LTD. C£RT:IFIEn PAYROLL PROJECT I:'AG£ 929 'Ii AOAMS STREET WEE>: DWlOO Arapaho ROad Phase III 1/09/05 C:lI1CAGO, IL GiHiC7 Jon N'UMS£R. 204059 OCC'OI' . WOlll1l. CIJI.SSIFICll.TlOO PATE 1 HR 1 RT 2 liE 2 RT HR l RT 4 NR RT S HR 5 RT PJ\.'; CODE VACATION EARNINGS 4113 n: C1I.RP:£:NT£R FOREMAN 1/08/2005 10,00 19.5000 .00 29.2500 .00 .0000 .•0 .0000 .00 .0000 .00 .00 195. 00 EMPLOYEE 6S139 TOTALS; HOURS 40.00 .00 .00 '180.00 Pli:O hHN1" OItOOCTION OESCRIP'TQN 12.00 125S £:MI>1..O"tEE DATA GUERRERO JOSE R. sa N1./I'tB£R 534.69"1678 fo'ARITAL 5TA'!'US, 2 £X£MP'l'tONS. • 25/1'1 A2LIi: AVE £HPL00 .00 22 Sfl.oo .00 .0000 .00 .0000 .M .0000 .co .M 152.51) 415) '!'X l GG FOi!MS SETJ'ER 1/08/2005 &.00 15.2500 .00 22 S800 .00 .0000 .00 .0000 .co .0000 .M 122 00." EMPLOYEE . WORK CLASSIFICATION DATS :l. HR :l. RT RR RT HR RT 4 Ult RT 5 AA RT PAY COD& VACATlON EARNINGS 4115 n: 113 CARPENTER 1/04/2005 8 00 13 .SOOO .00 20" 2500 .00 ::.7.0000 .00 .0000 .OOOG .00 ,00 loa 00 411.5 n: US CA.RPEN'l'ER 1/f,l6/2005 10 00 13.5000 ,00 20.2500 .00 27 0000 .00 .0000 .01 .0000 .0000 .11 1)5,00 4115 n: US CA.RP£N'fi;R 1/07/200$ 10 00 13.5000 .00 20.2500 .00 27 (lOOO .0000 ,II .0000 .00 1.35.00,,, ." ,","4115 't'X US CARPENteR 1/08/2005 8.00 13 5000 .00 20.2500 .00 27 0000 .00 .0000 .01 · GGGO .11 .00 108" 00 EMPLOYEE 􀁾􀀳􀀲􀀷􀀴􀀠TOTALS: l1QUi\S 36.00 .11 ,00 4$6,00 EMPLQYW DATA RICO Al..8£RTO JAtM1J: ss tlUMBER )2190768) MARlTAL STA'tUS: 2 EXEMPT1(INS, , <:839 J\WiSKA IWENUE EMPLOYEE NO. 'R:)!!2 OALWlS. "l'X 752U E'm.NIC CODE S CHECK truMlilERS, 263221 972/579-3363 SEX MALE HIRE DATE 09/26/00 NIT GROSS TAX GROSS F.l.'I'. F:rci\.(HI) F;rCAiCASDl) S.D.I S:U.L STh'l'£ TAX CIT!{ 'I'AX CHIT TAl< UNION D&O, MISC. OEO. N'£T PAY 􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀭􀀭􀁾􀀭􀀭􀀭􀁾􀁾􀀭..􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀮􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀭􀀭􀀮􀁾􀀮􀀭􀀭􀀭....0000.00 41)0.00 6.1S <:4. eo .00 .00 .00 .00 363.25 OCCQ]), WORK CWlSSIFICAT10N' DATI; 1 HR 1 RT 2 HR RT 3 HR ) RT 4 HR RT 5 HR 5 1"£lN LASOltER 1/07/2005 10.00 10.0000 .00 15 0000 ,II .0000 .00 . 0000 · 0000 .11 00 100 00 4126 '!':( 172 COMMON 1J\a'iRl\!R 1/08/2005 11-.00 10.0000 .00 15 0000 .001l0 ,II . 0000 ,DO .0000 .11 .00 80 00,00 ," EMPLOYEE "eJel TOTALS 􀁾􀀠lIourm 'lO.GO .00 .00 400.00 􀁾􀁬􀁃􀁦􀀲􀀵􀀴􀀠11,28:25 1/09/0S CERT p/R AACllER W£S'IERN CONTR.AC'l'ORS, LTD. CERTIF1.En PAYRO!.I. PROJECT PAGE 5 929 Ii 1I.l:W1S S'l'R£E'l' "'I':£X hlfOlNG Arapaho ROad Phal>li! III 􀁬􀁪􀁃􀁾􀀯􀁃􀀤􀀠CHICI\OO, II. 60G07 JOB. NUMBER. 2!HOSS h'MPLOYEE DATA ,ESCOSAll. EMILIO SS NUMBER 4652$8728 .MAAlThL STA'IVS: 2 EXEMPTIOns: 223C AVE A EMPLOYEE NO,: 6879.9GRANt) l'AAlltl£, TX 75051 E'l"H.NIC CODE C CHECK NtiMBERS, 263.206 9'll/26"1'9H5 MAr.E HIRE DAT£ 05/02/02.'" N/T GIWSS TAX GROSS F.I T. FlCAiHl) FlCAiOASOl) S.O.I S,U.L STATE TAX Cln-TAX CNri TAX UNION fmO. MISC. OEO. NE'l' PAY .00 911.40 56.67 54.0J 12.61 .00 .00 .co .00 .00 227 51 ;'60.2S." Decup. WORK CLASSIFICATION CAn: lUR lRT NR :: RT llR l RT HR ItT S HR RT PAY COOS VACATION EIlRNINGS 4124 TX liEElUiY IllS'l'ROMENT MAN 1/03/2005 5.00 16.8000 ,DO 25.2000 .00 ,0000 .00 .0000 .00 .0000 .00 00 84.00 41.24 n: WEEKLY l,.""S'!'RIJM'eNT MAN 1/04./2005 8,00 16,8000 ,00 25.2ooC .00 . 00(l I) .0000 .GO ,0000 .00 .DO 􀁾􀁊􀀴􀀠,40." "Il24 TX W'££KLY INSl'R1JMl::N'T MAN 1/05/200S 6.00 16.8000 .00 25.2000 .GO .0000 .00 .0000 .CO .0000 .OC 100 SO ." 'll24 T:Z WEEKLY INSTR!JM£t,"f WIN 1/06/2005 10.00 16.5000 .00 25.2000 .00 .0000 .co "0000 .00 .0000 .OC 00 lliS 0('; 4124 TX W£EKLY lNSTRUMEr4"r Ml\H 1/C1/2C05 10 50 16.8000 .0£1' 25,2000 00 ,0000 .00 ,0000 .DO .COOO .00 .00 176 40 41.24 TX WEEIG"Y INSTRUMENT MAN 1joa/2005 . 5e 􀀱􀁾􀀮􀀠801H> ;i,50 25.2000 .00 .cooo .00 .0000 .00 ,OOtlO .00 .00 247 80 £MPLOYEF. 687S1S TOTALS: HOURS 49.S!) .00 .OC sn.40 OED J\Hlfr DEDUCTION OtsSCRl.PTON DEn AMNT DEDUCTION DESCRIPTQN 187.81 CH:tLl) SUl>PORT 40.00 1255 EMPLO'f£E" Il1I.TA Ml.LI,J;;f:( 'tERRY L. 55 NUMBER 505768661 MIUl.!TAL STATUS: 1 EXEMPTl.ONS, 9791 SHADY l.J.i.liE EMPt.OYF.E NO, 65g06 QUINLAN, Tx 754H E"l1tNIC CODE C CHRCK NUMBERS: 26J216 􀁓􀁬􀁏􀁊􀀯􀀳􀀵􀀶􀁾􀀲􀀲􀀸􀀶􀀠SEX MALE HIRE DATE C5/07/02 􀁾􀀯􀁔􀀠GROSS "l'AX GROSS F.1.T. Ir.tCA{HI) FlCA{OA5Plj S.P,l 5.U.1. STATE TAX CiTY TJIj{ CFN TAX muON OED. MISC. DEO. NET PAY .00 810.00 117.40 47.74 11"00 "H .HOO .00 U'.R .".n OCCl)P. WORK CLhSSllr.tCATION U 1 RT 2 D 2 􀁾􀀠HR JUt 􀁾􀀠RT 5 HR 5 RT PAY COOS VACATION EARNINGS0'''' 4:137 nt :H.2 CRANE (;PeJl'ATOR ../04./2005 8,M ::0 25M .00 30.3800 .OC .0000 .00 "0000 .00 .000l> .OC .00 162,00 '\137 '!'X :H.l CRANE ormt./l,TOR 1/06/2005 10.00 20 2S00 .00 )0,3800 .CO .0000 .00 "0000 .00 ,0000 .00 .00 202 50 4117 'I'X 342 CR.ANli: OPERATOR 1./07/2005 10.00 20 :1'500 .00 .l0,3800 .OC .0000 .00 .0000 .00 ,0000 .OC .00 202 50 HJi n: 342 CRAN£ OPERATOR 1/08/20(15 12 00 20 2500 .00 30,380e .CO .0000 .OC ,0000 .00 .0000 .00 .00 243. 00 E"MPI,()YEE 69S06 '1'O""I.,S: HOURS 40.00 .00 .00 tHO.OO OED AMNl' DEDUCTION" DESCR:lPTON OED 1lMN'! O£DtJC'!'lON DESCRIt"l"'Clf PEC AMNT DEDUCTION O£SCRIPTQN 1.:1 ,54 CHILD SUDI'ORT 59.2<11 CHJ:LD SUPPORT 40,00 125S MCP254 2/01/05 11,28:2S 1/0$/05 CERT p/it ARCSER WESTERN 􀁃􀁏􀁾􀁣􀀺􀁲􀁯􀁒􀁓􀀮􀀠L'!'Il, C E R '1" I FIE 0 PAYROLL PROJECT PAGE 6 929 'Ii ADAMS s'rf/.E£T WEEK ENDING Arapaho Road Phase III 1/05"/35 CHICAGO, 1L &0&07 JOB NUMaER, 204059 I!:Mf'LO"IEE DATA R1CO JAVIER ss_ 008295674 MARITAL STATUS, 2 EXEMPTIONS, , ;HU9 ALASKA AVENUE EMPLO'f££ NO,' 59211 OALLl\S, "t'J( 75216 E'nINIC CODE S OIECK 􀁎􀁕􀁍􀀱􀁍􀁾􀁒􀁓􀀻􀀠263223 214/975-0649 SEX MALE HIRE DATE 1(1/02/9$ N/T GROSS TAX QROSS F.I,T. FIC/dIlI) FtCl\(QASOI) 5.0.1 S.U.I. STATE TAX CITY TAX CNTY TAX UNION OSO. MISC. oSD. NET PAY .00 2$0,(10 .31 17,36 4.05 .00 ,eo 00 .00"00 .00 258.27 OCCtJll. WORK CLASSIFICATION DhTO HR 1 RT 2 HR 2 RT 3 SR RT HR 4 1'1.1' HI'!. 5 itT PAY COOS VACATlCN £J\RNINGS 􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀭􀀮4l2t 'l'X 1n COMMON LABORER 1/0G/Zoos 10.00 10 MOO .011' H.Oooo .0000 .00 .0000 .00 .0000 .PO .00 100.00."412& 'l'X 172 􀁾LABORER 1/0712005 10.00 10 0000 . DO 15.0(1)0 .00 ,0000 .00 .0000 .00 .0000 .co .00 10[).00 4125 'l'X 172 􀁾LABORE:R 1/08/2005 tLOO 10 0000 ,CO 15.0000 . 00 .0000 .00 .MOO .co .0000 .00 .00 ac.DQ 􀁅􀀺􀁍􀁐􀁌􀁏􀁾􀁓􀀠69211 TOTALS: HOURS 28.00 .PO .00 21.\0 ,00 EMPLO'IE:E DATA CIUl.VBZ Jt.lMI M. SS N\JMS£R 6U053165 MIIlU1'Al, STATUS; 1 EXE/IlPTIONS, s H33 WESnuOOE A EMPLOVEE t-IO. 69'863 FORT WOR'l'fl, '!'X 76116 E:'l'flNIC CODE S CHECK mJKaERS: 263202 817/1':12' :<:157 SEX MALE HIRE: DATE 01/20/03 NIT GROSS TAX GROSS F.1.T. nO>tH:::J FICA (QASOZ) 5.0.1 S.U.I. STATE TAX CITY TAX CNTY TAX UNION OED. MISC. OED • mn PAY OCCQ'F, . 00 l(;l'>, 00 WORK CLASSIFICATION ." 21.58 DATE 05 ,00 lHR1RT2HR RT .QO SR 3 RT .OD HR 4 RT ,00 5 HR 5 ,00 RT PAY coDe .00 VACATION 12.00 £ARNINGS 321.17 􀁾􀁾􀁾􀁾􀁷􀁾􀁷􀁾_____ _ 41.26 4126 4126 TIt 172 t\:)MMON 􀁌􀁁􀁂􀁏􀁆􀁴􀁾􀁒􀀠TX 172 COJII'HON LABORER TX 172 COMMON LABORER 1/04/2005 1/06/2005 1/0712005 8,0010.0000 10 00 10.0000 10 00 10, (JOOI) .00 .00 .00 15.0000 15.0000 15,0000 ." .QO .00 20.0000 20,0000 20,0000 .00 .00 .00 .0000 .0000 .0(1)D .".".00 . 0000 .0000 • DDOO .00 .00 .00 .00 .00 .00 80. DD 100 00 100 00 412& TX 172 COMMON LABORER 1/08/2005 800 10,0000 .O[) 15.0000 .DO 20,0000 .11 .0000 .11 .0000 .10 .00 ao 00 EMPLOYEE un:;. TOTALS; HOURS 36.00 .00 .00 )GO.OO DED A.."\N'!' tlKtlt1'CTION DESCRIM'ON 12.00 121>S MCP254 2/01/05 11,2a,25 1/09/05 C&fi(T I1IR ARCflSR WESTZR,N CON'l'RAcrORS, !f29 W ADAMS S't'RSET Cf{ICAGO, IL LTD, 60607 C :£ R 'r 1 FIE 0 PAY R 0 WEEK DOllIG 1/0ro/05 L L PRO JeT ArapahO Road Phase III JOB NUMBER. 204059 PAGE EMPLOY£E DATA 00"'''' """" S5 N1JHBER 411<4;40081 MARITAL 5TJI:ruS, :2 EX£Mn'IONS, 4133 WE5TRIPGE AVENUE APT A £Ml'LO'i:£E NO., $9t1t'>4 POllT WOR'll!, l'X 􀁡􀁬􀀷􀀯􀀶􀀵􀁡􀁾􀀶􀀡􀁦􀁈􀀠76116 ETlmIC CODE S SEX MALE NIT GROSS TAX GROSS F.I T. CHECK NUMBERS, RIftB DATE FrCA(HIl FICA (OASOl) 25220) 01/20/on S.D.I s ,.U STATE TAX C!TY TAX CNTY TAX UNION OED. M!SC. Del), NET 'PAY OCCt.ll'. .00 WORK 662,50 C!J,7500 15 7S00 15 1S00 15 7500 15 7S00 lS.7500 .W .GO .W .CO .DO .00 .0000 .0000 •COOO .0000 .0000 ,0000 .00 .00 .00 .00 .W .W .0000 .0000 .oooa .0000 .0000 ,0000 .00 .00 .00 .00 .W .00 .0000 .0000 ,Oooe .0000 .0000 .0000 .DO .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 73.50 10!o 00 105 00 lOS 00 1.36 SO 15"1. SO EMPLOYEE 69864 TOTALS t HOURS 57.00 .00 .00 􀀨􀁩􀀸􀁾􀀬􀀵􀀰􀀠£MPLOYi:E DA'ri> L:£O£S.tQ ARMMllO 55 N'UHBER 569777061 KlUtITAL STA'!'l.lS: :2 EXEMIn'!otlS: 916 ROLLING MEADOWS DRIVE BtmLESPN, TX £Ml?LOYEE: NO.1 94146 7602<1 E'ffiN1C CODE S 817/447-568$ S£>< Nn: GROSS TAX ORt)SS B,I.T. .00 520.0a 14.15 OCCI.lP. WORK CLASSIFI('ATION KALE CHOCK Nt.'!o$ERS, HIRE: DM'E FIC'A{lH) FICA(OASDl) 205)211 lfi/13/03 S,n,l .--------􀀭􀀭􀁾􀀠􀁾􀀠􀁾21.. 76 OATE (i,!H; .00 IHRIRT2HR RT S.U,I, .00 Hit ) STATE TAX .00 RT 4 HR 4 CITY fi(T TAX .00 5 HI'!. CNl"l TA, .00 5 I'I.T UNION D£D. MISC. .00 PI\1( coos VACATION 0&0, NET PAY 'lQ.00 42!J.l): EARNINGS 4153 4153 4153 4153 n: 16{;; FORMS SE'1"'l'£R TX 166 FORMS SE'l"1'SR TX 166 BORMS 􀁓􀁾􀀠n 166 FORMS SETTF.R. 1/05/2005 1/06/2005 1/07/2005 :1/08/2005 10,00 10,00 10.00 10.00 n 0000 11 0000 13 0000 13,0000 ,00 • (HI .00 .00 19.5000 19.5000 19.5000 19.5000 .00 .00 .00 .00 .0000 .0000 .0000 .0000 .00 .00 .00 .00 .0000 .0000 .0000 .0fiOO .00 .00 .00 .00 .0000 .0000 .0000 .0000 .00 .00 .00 .00 .00 .00 .00 .00 130 Of! 130 01> 1.30 00 1.)0,00 £M'PLOYEE 94146 lxtrALS: HOURS 4fi.00 .00 .00 520.00 Olin AMNT 40,00 DEDUCTION l)l:SCRII"l'ON 1255 ----------• •• ••• MCP254 2/01/05 11,211-<25 1/09/05 CERT P/R ARCN:rR \fESTERN COlt"TRAcroR$, LTl,l, CERTIFIED PAYROLL PROJECT PAGE 929 111 A.OJ\Ms S'l'REET WEEK EliDING Arapaho Road Phase III 1/09/05 CHICAGO. XL ,,0:607 JOB NUMBER. 204059 DlPLOYE£ DATA SCHMIDGALL TERRY LEE SS N'OMaER 352506655 MARITAL STh'nlS, 2 EXEMPTIONS, , PO lIC»: $2 EMPLOYEE NO.' 9420) SCI.lRRY, 1'X 􀀷􀀵􀁾􀀵􀁅􀀱􀀠mnuc CODE C CHECK miMBERS, 21;3228 972/452-8646 SEX MIU.E atm: DATE l1/n/o) NIT GROOS TIIX GROSS 11'.1. 1'. neA!Hl) FICA l OASDI) S.D.I S.U.I. STATE TAX crn' TAX C>mf TAX UNION DEO. MISC. DE:D. NET PAY .00 900.00 77,62 55.06 :12.88 .,. .CO .00 .00 .00 1/,14 n 650.13 OCCIJI>. WORK CLASSIfICATION DATS 􀁾􀀠HR :1 RT HR RT HI<. 3. &1' UU 4 &1' 5 HR 5 RT PAY CODE VACATION EAANTNGS iU7 TX )42' CR.I\.I'm OPERA1'OR 1/0'4/20'05 1000 22.5000 .00 J),7500 .00 .0000 .00 ,0000 .00 .0000 .00 .CO 􀁾􀀲􀁓􀀬􀀰􀀰􀀠4lJ7 TIC 342 CR.I\.I'm OPERATOR 􀀺􀀱􀀯􀀰􀁾􀀯􀀲􀀰􀀰� �􀀠10 00 22.5000 .00 )) 7500 . 0000 .00 .0000 .00 .0000 .00 .00 􀀺􀀧􀁉􀁾􀁓􀀬􀀠00 4137 n:: 342 CRANE OPERA't'OR 1/07/2005 :10 00 22.5000 .00 33.7500 .CO .0000 .,. .0000 .00 .0000 .00 225.00 ." 4137 ¥X l42 CRANE OPERATOR 2/0a/Z005 20 00 22.5000 .00 33.7500 .0000 .00 .0000 .00 .0000 .00 .00 225.00." EMP1,o'fEIl: 94203 TOTM..S, HOURS 40.00 .00 .00 900.00 DED AMNT DEDUCTION DSSCRZ?TON OED A.MNT CEDUCTIm: DESClUPTON 92, n CHILD SUPPORT 12.00 l.2SS EMPLOYEE DATA CHAVE' ADOLFO 6••&0':1225 MARITAt STh'nlS, 2 EXEMPTIONS,55 "'"""" 4133 WESTRIDG£ APT A E:MPLOYEE NO. 94452 FOllT WOR'!H. 'nt 76116 &'ruNIC CODE S CHEer NUMBERS: 2(;;}:'I01 U'//7J2-2157 SEX MIU.E HIRE DATE 03/08/04 NIT GROSS 1'IU: GROss ILl. T. FICA!HI) FICA (C».SOlj 5.0.1 S,U.!.. STA'l'£ TAX CITY TIIX C>mf TAX UNION :os:o. MISC. DED. lfE'l' PAY .00 370.00 .00 22.20 5 19 .00 .00 .00 .00 .00 .00 􀁾􀀲􀀬􀀰􀀰􀀠330,61 OCCVP. WORK croASSIFlCATION DATE 􀀱􀂫􀁒􀁾􀁒􀁔􀀲􀁈􀁒􀀠RT RT UR &T 5 HR 5 RT PAY COOE VACATION 􀁾􀁎􀀡􀁎􀁇􀁓.. 4:126 TJC 172 CQMMON 􀁾􀁏􀁒􀁅􀁊􀁉􀀧􀀮􀀠1/04/2005 "I' 00 10 0000 15.0000 .00 ;W. 0000 .00 .0000 .00 .0000 .00 .00 70,00." 1126 TX 172 COMMON LAaOIt&R 1/06/2005 1.0 (1) 10 0000 .00 25 0000 .00 20.0000 .00 .0000 .00 .0000 .00 .00 100 00 4126 n:: 172 COMMON LAaOru:R 1/07/2005 10.00 lJl 0000 15 0000 .00 :'10.0000 .00 ,0000 .00 .0000 .00 .00 100 00." 4.126 TZ 1n COMMON LAaORER 1/08/200S 10.00 10 0000 .00 25 0000 .00 20.0000 .00 ,0000 .00 .0000 .00 .00 100 00 EMPLOYEE 94452 TOTAl,S, HOURS 37 .00 .00 .00 370.00 OED AMNT DEDUCTION OESCRIPTON U.OO 􀁾􀀲􀀵􀁓􀀠 MCP25<1 2/01/05 U '26 ,25 1!09/05 CERT P!R ARCHER WESTERN CONTRACTORS, LTO. CE1I:'rIFI£O PAYRO:::'t. PROJECT PAGE 9 '12:> W ADAMS STREIi:'I' WEEK li:tmING 􀁁􀁲􀁾􀁨􀁯􀀠Road phase ::ex! 1/0S/0S CHICAGO, I:::' 60607 JOB NUMBP., 􀀲􀀰􀀴􀀰􀀮􀁳􀁾􀀠EMPLOYEE DATA Cil.sn:::.w VIC"1'OR ss_ 547102317 MAArrAL STATUS: 1 EXEMFTXONS; 1315 CALn>fE!.!. AVlCN'll'E EMpt,OY:Eli: NO" S4118 l)M,LJlJ;, TX 1522) EnIN1 C CODE 5 CllECK WJl!i!SER5, 26)200 214/82'H'625 SEX HALE HIRE DATE' oa/10/04. NIT CROSS TAX GROSS F.I T. f:ICA!HI) VlCl\.jOASDI) 5.0.1 5.U.I. STATE TAX CITY TAX CNTY TAX ONION DED. MISC. OED. 􀁾PAY 􀀭􀁾􀀭􀀭􀀭􀀭􀀭􀀭." 􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭.00 350.00 ·LOS 20.S6 4.90 .00 .00 .00 .00 .00 1200 30(1,05 OCCTJP, W01l:K CLASSIFICATION ".>£ IHRIRT211R2RT RT .;. HR R'l' 5 I!R 5 RT PAY CODE VAC1\.T!CN .f:AIUl1NGS.. <1126 '!'X 172 COMl'.roN l.J\EORER 1)04/2005 7.00 10.0000 .00 15,0000 .00 20.0000 ," .0000 ." ,0001'1 .00 .00 70.00 4732 DALLAS, TX 75223 '£'l"lmIC C{')DE S CHECK Nt,.'MBERS, 263218 214/627-6625 MALE HIRE DAn; 06/16/04. N/T GROSS TAX GROSS"" F.LT. 􀁆􀁉􀁃􀁁􀁬􀁈􀁾􀀩􀀠VlCA(OASDI) S.D.! S.U.I, STATE TAX CITY1"AX c.' > 􀁾􀀠􀁾􀀠" N􀁾􀀠• 􀁾􀀠􀁾􀀠• • N M 􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠0000 Q 00.00 Q 0000:> 0 •ro LtI 0':; t:> •􀁾􀀠Z ",,,,,...,1110 H '"'000-M H,· •11>,....,.""" 1:0;,....1") .... , 􀁾􀀠HHM 􀁾􀀠H H H 􀁾􀀠0 􀁾􀀠a 􀁧􀁾H 􀁾􀀠· 􀁾􀀠0 M U ·0 0000 0 Q 0000 0􀁾􀀠U•H 0000 0 H 􀁾􀀠(;) 0 0 <:> 0 " • •• · · 0• J 􀁾􀀠0 0> N 0 􀁾􀀠0000 0 􀁾􀀠0'000 0 􀁾􀁾􀀠0 ci 0 0000 0 0000 0 " 􀁾" 􀀢􀁾􀀠g 􀁾􀀠8 􀁾􀀠0 0 " H U 􀀢􀁾􀀠I 􀁾􀀠> 􀁾􀀠> 􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠< 0 0 " 0 0􀁾􀀠􀁾􀀠0000 , 0000 > 􀁾􀀠0000 0 t , 0000 0 0000 0 , 0000 0 0000 0000 me H 􀁾􀀠H "' 􀁾􀀠" 0'" <:> (>•" '" <:> "" (>0000 0000 0 0 " 􀁯􀁾􀀠" " 􀁾􀀠o. g 􀁾􀀠 􀁾􀀠t <:> <:> <> .. • E t 0000 I 0000 0000a 0000 u 0000 0; 00000 00000j, • 􀁾􀀠0" 0000 , o.• Oo.oe" 0 0000 0000 Q " • 􀁾􀀠􀁾􀀠• 􀁾􀀠·• 􀁾􀀠􀁾􀀠• 􀁾􀀠• 􀁾􀀠" 0000 􀁾􀀠0000 􀁾􀀠􀁾􀀠t 00000 􀁾􀀠t 0000 , (:) 0 <:> <:> •> 0000 • • 0000 0000 0 <.1>'4>"'''' I' <:>.:> <:> • > p 0".. M •• • S " O... '" <:> 0 <:> < • "" 􀁾􀀠. 􀂧􀁾􀀠0000 00'00t 0000 0000 0 ••0 "• ..... .tIII),.,00"" '"...,....,Vl ..... 􀁾􀀠N ": 􀁾􀀠"OH N "' H 00<:>0 0 ........ rl ....• 0 """'0"1"; H g N N N N " . •0 0 •00 􀁾􀀠, • , 0 000,0 0000.• • ." • • 0000 􀁾􀀢􀀬􀀠00'00" o. 􀁾􀀠N : E H" i 􀁾􀁯􀀠ffi 􀁾􀁾• 00000 􀁾􀀠0000 N 􀁾􀀠0000 􀁾􀀠􀁾􀀠0000 " 􀁾􀀠• U M N 00':' 0'" <:> <:> <;)00.00 • ;.; •HH • Ill"""' .... 􀁾􀀠........... ,., 􀁾􀀠<, • M ,.,,.,..,<"'\ 􀁾􀀠• .... rirl .... « w i1 􀁾􀀠.... rtrl ... 0 " 􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠• 00010 􀁾􀀠􀁾􀀠000-", , 􀁾􀀠! .. :t u " 0000 G " 􀁾􀀠􀁾􀀠<:> 0 I'> '" MM" 􀁾􀀠HMH H r:OQQ H H t' <;) '" '"" 􀁾􀀠"• 􀁾􀀠" • " 􀁨􀁬􀁾􀀠on",,,,.., " 􀁾􀀠􀁕􀁾􀀠tflVll1>""􀁾􀁾􀀻􀀺􀀻􀀠0000 G j 􀁯􀁾􀁟􀀠0000 QOOO QOOO􀁾􀀠W • W. 􀁾􀀱􀀱􀀠N N ... N 0 􀁾􀁧􀀠􀁾􀀠􀁾􀀠NNNN, ............ , 􀁾􀁾􀀠....... 1"«1 " 􀁾􀀡 •􀁾􀀠.-"" .... " , ... '" r-􀁾􀀠0000 Q , ...... 􀁾􀀵􀀠, ............ , M 􀁾􀀠5 '" 0 ,0 ....0 H • • 􀁾􀀠rl ........ rl " • ",. ,...; .... "" ... M 􀁾􀀠M. " ..􀁾􀀠POO "" 􀁾􀁷HW w o. W 􀁱􀁾􀀠􀁾􀀠OM .... 􀁾􀀠􀁾􀀠􀀮􀁾􀀠., t; QM ·e Q Mig􀁯􀁾􀀠H 􀁧􀁾􀀠H H C Q 􀁾􀁦􀁦􀁩􀀸􀀠• CfJ48 • • 0 • ;.u il0 a'Q I§u " il-i" 􀁾i:li ffl􀁾􀁵􀁾􀀠􀁾􀀠•G Q" g•g • • ·1..; " 􀁾􀀠􀁾􀁾􀀠0 g « 􀀮􀁾MOO " Q "oo ...: IX II: &i 􀁾􀀠Q •• « u u• e 􀁾􀀠u 􀀮􀁾􀀠􀀮􀁾􀀠:i rJ e􀁾􀀠u ">. • 􀁾􀀠􀁾􀀠• • 􀁾􀀠H􀀵􀀵􀂧􀁾􀀠« 􀁾•N 􀁾"• 􀁾􀀠􀁧􀀺􀁩􀁩􀁬􀁾􀀠􀁾􀀠􀁾􀀠• 􀁕􀁾􀁾c• .,; 0 ,.., ...... H z· Iii: ......... • o,,1l.on,a, 0. " i •• 0 2 ,., 0 • 0 """""'.., • 0 0 􀀺􀁧􀁾􀁾􀀺􀁧􀀠B N « H 􀁾􀀠G 0 <:> '" <;> Q0 NNN'" < 􀁾􀀠!'I ....... '" P 􀁾􀁾􀀠 • a 􀁾􀀠" Q 􀁾􀀠􀁾􀁾􀀠􀁾􀁾􀁾􀁾􀀠􀁾􀀠􀁾􀁾􀁾􀁾􀀠OM,0 a􀁾􀀠« h 􀁾􀁾􀁾􀀠􀁾􀀠• " 􀁾•0 .: •w ig, 􀁾􀀠H 􀁾􀀠􀁾􀀠􀁾'N 􀁾􀁾􀀠0'<<1\01'" 􀁾􀀠􀁾􀀠H " U ",,,,<1\0'\9• 􀂧􀁾􀁾􀀠U 􀁾􀀠u "' ... ..,..,""''''1'''''''H • B 0 .............. " 􀀾􀀼􀁾􀁾􀀠0 .... rl ........ 􀁾􀀧􀁦􀀧􀀧􀀧􀀧􀀼􀀡􀀣􀀠􀁾􀁾􀀠􀁾􀀠............ 􀁾􀁾􀀠 "" " 􀁾􀀠0 ffi ·.. 1hZ􀁾􀁾􀀠􀁾􀀠... :: "'Hc, 0· 􀁾􀀢􀀠i 􀁾􀀠􀂫􀁾􀀧􀀠H •H HOf<"'li. ;::::11'';:;•u 􀁾􀁧􀁡􀁾􀁾􀀠􀁾􀀠u 􀁧􀁪􀁾􀁾􀀺􀀻􀀻􀁾􀀠" " " . •• MCP2S4 l'/IH/OS LJ,.,;<8,4:S 1/09105 CERT pIt< ARCltElt WESTERN CONTRACTORS, LTD. CERTI;-IED PAYJ:OLL PROJECT PAGS 􀁾􀀲􀀠923 .. J'i.DAMS STREET m:E1( &NDIHG Arapaho Road Phase III 􀁾􀀯􀀰􀀹􀀯􀀰􀀵􀀠C1l1CMID, IL 60607 J(')s NtJlil1\F.R. 21>4059 EM5'LO'i££ DATA DOMINGUEZ >J!lWmO $5 NUMBER 6HH20"l$l MARITAL STATUS; 1 EXEMPl'IONS: 􀀲􀀷􀁾􀀲􀀠BER.R.'t RILL EMPL(i1t:E NO" 94"160 FORT 􀁾􀁒􀀢􀁬􀁬􀁴􀀮􀀠TX 7GlDS mlNIC CODE M CHECK NtJ\'1BERS: 21jJ.204 en1535-7929 SEX MALt: HIRE Of.TE 09/14/04 HIT GROSS TAX GROSS F ,I T. FXCA.(HI) FICA (OASm) $,O,I S.U,I, STAn 't.l\x CITY TAX UNION CEP. MISC'. OSP. NET PAY""'" TAX ---------------.. __... •• ,_ .n,n• 00 5)£,50 )6,46 32. S2 􀀷􀀮􀀶􀁾􀀠.00 .00 oecop. 􀁾􀁒􀁘􀀠CWISSIPICATION 111R 1kr lHR lJ:T '" RT -4 IIR 4 RT 5 HR S RT PAY CODE VACATION EARNINGS"",.. 4J.l6 '!'X 342 BACfUlOE OPE:RATOR 1/04/2005 7.00 14.5000 .00 21.1500 .00 2!LOOOO .0000 . II .0000 . II 􀁾􀁑􀁬􀀮􀀠SO,.. "1136 TX )42 8i>.cKliOE OPERATOR 􀀱􀀯􀁾􀁇􀀯􀀲􀀰􀀰􀀵􀀠10.00 􀀱􀀴􀀮􀁾􀀰􀀰􀀰􀀠.00 21. "SOD .00 29,0000 .11 .0000 .00 .0000 II .CO H5.00 413G n: 342 BACKHOE OPERATOR 􀁾􀀯􀀰􀀱􀀯􀀲􀀰􀀰􀁾􀀠􀁾􀁏􀀮􀁏􀁏􀀠􀁾􀀴􀀬􀀵􀀰􀀰􀀰􀀠.00 21.7500 .00 29.0000 .0000 .0000 .11 :1.45 00..." ."...a36 TX 342 ElACKHOE OPERATOR 1/1>8/2005 10.00 􀁾􀀴􀀮􀁓􀀰􀀰􀀰􀀠.00 􀀺􀀲􀁾􀀬􀀷􀀵􀀰􀀰􀀠.00 29.0000 ,II . 0000 ,0000 .11 145.00 EMPLO:tSE 94760 'I'OTAL5: ROURS 37.00 .01 .00 536.50 ORO AMN1' DEDUCTION CESCXIP'rON 􀁾􀀲􀀮􀀰􀀰􀀠1255 EMPLOYEE DATA I,OPEZ ENRIQUE:. S5 NtlMUER 455;;32527 MARITAL STA1'iJS1 l EXF.'MPTICNS! 3008 SUGAABElUU ROAD EMPLOYEE NO.: 94825 DALLAS. '!'X 75224 E'l"ffNIC CODE S CHECK NUMElERS; 263213 􀀹􀀢􀀯􀀲􀀱􀀱􀀰􀀤􀁬􀁾􀀴􀀶􀀵􀁇􀀠sex MALE !tIRE DATE 10/13/04 NIT GROOs TAX GROSS F.I.T. FICAlRI} FICA{Oh5DI) 5.D.I S,U.:1. STATE TAX CITY TAX CNTi TAX mnoo OED. MISC, DEn. Nt'l' PAY .00 2e8.00 􀁾􀀵􀀠.38 '60 .11 ,00 .00 .00 40,00 225.76 " .. occtn>. ""ORK ClASSIF!:Cl\.TION " DATIl 1HR1RT HR :2 􀁾􀀠1 􀁾􀀠RT 4 HR RT 5 HR 5 RT PAY CODE VACATION tAruiINGS 41:26 TX 􀁾7 2 eOMMON tJU!lORER 1/041201>5 9.00 9.0000 .00 13.S000 .00 la.OOOO .M .0000 .0000 .M .11 81 00.. 4126 n: 􀁾􀀱􀀲􀀠COMMON LABORER 1/0;;/2005 10 01> 9,0000 .00 1),5000 .00 1$,1.1000 .DC ,0000 .00 .0000 .00 .IC 90 00 4126 TX 􀁾􀀢􀀯􀀲􀀠􀁃􀁏􀁍􀁍􀁏􀁾􀀠LABORER 1/0112005 5.00 (;I 0000 .00 :LJ.5000 .00 16 OQOO . II .0000 .11 ,0000 .ID 45 00 4126 TX 􀁾􀁮􀀠COMMON LABORER 1/03/200S a.DD 9,0000 .00 11.5000 .01> 18 0000 .0000 .10 ,0000 .ID .M 72.00,., .. EMPLOYEE 94625 TOTALS: IICL'RS I::: .00 .ID .CO 2&S.00 PEn AMNT DEDUCTION DE5CRIPTQN 40,00 􀁾􀀲􀁓􀁓􀀠 MCP2"Si 2'/Ol/OS 11:2e,25 1/09/05 C£RT P/R AAC1iER W:S:S1'S:R.N CONTRACTORS, t.'1'D. CER'!'lF £0 PAYROLL <'ROJECT PACE: 13 929 Ii ADAMS Sl'iU:trr W££1( eNDING ArapNn') RlCll1(1 Phase III 1/09/05 CHICAGO. II. 60&07 JOEl NUI18ER. 204059 £MPLOY££ DATA RAMIFt£Z ERNEST<) 5$ tftJMDER 4519114707 MARITAL STA'!"US: :;>, EK£MPT:tOtlS, 2626 CANBERRA STRRE.'!' EMPLOYEE NO., 114829 0AL:r..A$, "l'X 75224 E!'l'HN:IC CODE , M CU ECK NUMBERS; 261120 214/1142-532:1 SEX MALE HUE OAT& l.P/13/04 N/T CROSS TAX GROSS V.I,T. FlCAOtlj ?!CA(OASOlj S.D.l S.U.I. STATE TAX CITY TAX CJ,"N TAX UNION OED, MISC, O£O. Ill!.. PAY ,00 560.00 22,l.5 34.72 6.l.2 .00 HOO. .00 .H ,00 495.01 OCCt)'P. WORK CLASSIFICATION UATE 1HR R'!'2HR RT Hit 3 RT 4 Hit " RT 5 HR 5 RT $?A¥ CODe VACATION EARNInGS -----------4135 TX 3G9 LOADER OP£RA'rOR l./04/2005 l.o.oo 14 0000 .00 21.0000 .00 26.0000 .H .0000 .00 .0000 .no .00 :140.00 4'-35 41.35 413S "l'X "l'X '1'X 3U LOADER OPeF.1\.'rOR 369 LOADER OPirnA'l'OR 369 LOAD£R OPERATOR 1/05/2005 lIo,/2005 1/06/2005 10,00 10.00 l.0 00 14 14 lot 0000 ooon OOCO .00 .00. .00 :n CCCQ 21 0000 21 0000 .00 .00 .00 28.0(01) 28 0000 2a (001) .H.".H .1.1000 ,OM!) .0000 .QO .CO ." .0000 ,0000 ,0000 .00 .H .00 .00 .00 .00 HO.OO 140.00 140.00 EMPLOYE'£" 94829 morALS, !iOURS 4.00.00 .'0 .00 560.00 :EMPLOYEE DATA MORALES PEDRO BURGOS S$ NUI18ER 595655590 MAkl:TAL STA'!iJS: 2 EXSMPTIONS: £12 EAST 5TH AFT C EMPLOYn NO.· 94837 DALtJ\S, TX 75203 ETHNIC CQDR M CHECK N"JHBE:RS 1 2GH17 2U/!l:4:t-6!O!B SEX MALE HIR£" DATe 10/19/04 NIT GROSS 't':l\.X GROSS Ii.LT. FlCA(;U) I'ICiliOASDl\ S.D,I S,U.I, STATe TAX CITl< TAX CN"!'Y TAX UNION DEO. MISC. DRD. NET PAY .00 S20.00 12.00 32.21. 1 54 .00 .00 .H .00 ,00 .00 ,00 468.22 OCctlP, WORK CLASSIFICATION CAn; 1HR:1R'!'2HR RT)HR RT " HR RT 5 HR 5 RT PAY coDe VACATIon EARNINGS 4l.39 "l'X 205 l":Ll'ELlWE:R 1/04/2005 10.01) 13.0000 .00 19.5000 .00 21,,0000 .00 .0000 .00 "0000 .00 .00 l.3O 00 4139 1'x 2:05 (>1:PELAYER 1/06/2005 10 00 1).0000 .00 19 5000 .1)0 26,0000 .00 .0000 .00 .0000 .'0 .00 130 00 4119 TX 21) 5 PIt'ELAYER 1/07!200h l.0 00 13,0000 .00 19 50000 .00 2{; 0000 .H .0000 .,0 .0000 .00 .00 1-)O.OP 4139 TX 205 PIPELAYER 1/05/2005 :10 00 1) 0000 .00 19 5000 .00 26,0000 .00 .0000 .00 .0000 .0' .00 DO 00 Eto1PLOYEE 94837 TOTALS r HOURS 40.00 .no .00 520,00 MCP254 􀀲􀀯􀀰􀁾􀀯􀀰􀀵􀀠11:2$:25 1J09/05 CERT pIa ARCHER iiES'!'DL'1 CON"tRACI'ORS, VI'!), CERTIFIED PAYROLL PROJECT 􀁐􀁁􀁇􀁾􀀠U 􀀹􀁬􀁾􀀠Ii r.DAMS S'l"R.£El' WEEl( ENDING Arapaho Road Phase III 1/09!Ol> CHICAGO. IL 60607 Joe N'l./MRER. 204059 EMPLOYEE DATA SANCHEZ-LOPEZ FRANCISCO 55 tnM6ER 􀀲􀁊􀀹􀀶􀁾􀀳􀀷􀀹􀀱􀀠MARITAL STATUS, 2 EXEMPTIONS: 30)0 SIU>.DOW 􀁾􀀧􀁏􀁏􀁏􀀠CRIVE EMPLOYEE NO.' 94U6 CALLAS, TX 752241 ETHNIC 􀁃􀁏􀁄􀁾􀀠M CREeK NUHBERS, 263224 972/2H-0279 SEX MALS HIRE OATE 􀀱􀀰􀀡􀁾􀁩􀁬􀀡􀀰􀀴􀀠NIT CROSS TAX GROSS F.I T. nCAll'lI) FICFdOAS'OX) S.'O, I S.U.I. STATE TAX Cl'l'\' TAX c.'l"!'Y TAX ONION OED, MISe. oEO, NET PAY .00 500.00 10.00 31.00 7 25 ,00 00 .11 .00 .00 ,00 .00 􀀴􀀵􀁾􀀮􀀷􀀵􀀠occuP. WOirK CLASSIFICATION 1.0: RT 2:H:R 2 lIT AA 2 lIT 4 n RT 5 Ilk 5 RT PAV COOE VACATION F.ARNINGSDA" '\\ll9 TX 205 PIPELAYER 1./04/200S 􀁾􀁯􀀮􀁯􀁯􀀠12,5000 .00 18 7500 .00 25.0000 .00 .0000 .11 .0000 .11 .11 125 Of) 􀀴􀁾􀀳􀀹􀀠TX 20S PIPELAYER 1/06/2005 10.00 12.5000 ,00 􀁾􀀸􀀠7500 ,00 25 0000 ,GO .0000 .11 .0000 .11 .11 .11 􀁾􀀲􀀡􀁬􀀠,00 1139 TX 205 I?IPELlI.YER 1/07/2005 10,00 􀁾􀀲􀀮􀁓􀀰􀀰􀀰􀀠.00 􀁾􀀸􀀮􀀷􀁓􀀰􀀰􀀠.00 25 0000 .0000 ,II .0000 .11 .00 􀁾􀀲􀁓􀀠.OD,"1139 TX ;lOS PIP-SLAYER 􀁾􀀯􀁯􀁥􀀯􀀲􀀰􀀰􀁓􀀠1.0.00 12.5000 .00 18.7500 .00 25 0000 .11 ,0000 .10 .0000 .11 .11 125 00 EMPLOY&£: 11149...9 TOTALS: HOtt"RS 40.00 .00 .GO 500.00 EMPLOYEE DATA SANCllJ!Z JOSE GUADALUPE SS litlI'reEft 632724626 MARITAL STATUS: 􀁾􀀠EXEMPTIONS, 2030 SR1\.OOW WOOD DRlVIJ! EMPLOYEE NO.' 94639 DA"t.AS, TX 75224 E'Tl'INIC coot: M CHECK NUMBERS, 263225 912/279-0279 SEX MALE HIR£: OATE 􀁾􀀰􀀯􀁾􀀹􀀯􀀰􀀴􀀠N/T GROSS TAX GROSS F.I.T. FICA (HI) I!'ICA(OASDIi S.D.I S.U.I. STATE TAX CITY TAX CNTY TAX UNION OEO. MISC. VEO. NET PAY .00 500,00 '\\2.02' J.l.oo 2S .00 .11 .H .11 .11 .• .00 419.'72 OCCUP. WORr: CLMSlflCATION DATIl 􀁾􀁋􀀺􀁒􀀠􀁾􀁬􀁉􀁔􀀠2HR 2RT 1m RT 4:H:R 4 lIT S HR 5 itT PAY CODE VACATION D.RNINGS 'Ill39 TX 205 Pli1E.t.11-YER 1/04/2005 􀁾􀁯􀀮􀁯􀁯􀀠􀀱􀀲􀀮􀁾􀁏􀁏􀁏􀀠.00 16.7500 .00 25 00'0'0' .11 .0000 .11 .0000 ,II .00 􀁾􀀲􀁓􀀮􀀰􀀰􀀠4139 TX 205 PIPE.t.II-YER 1/06/2005 10,00 12.5000 .00 111.7500 .00 25 0000 .11 . 0'0'0'0 .11 .0000 .GO .00 125,00 'Ill):9 TX 20S PIP&.AYER 1/07/200S lO.eo 12.5000 .00 16.7500 ,00 2S 0000 , 0000 .11 .0000 .00 ,II 125.0'0."4139 TX 205 PIJ1lEl.AYRR 􀁾􀀯􀀰􀀸􀀯􀀲􀀰􀀰􀀵􀀠􀁾􀀰􀀮􀀰􀀰􀀠12.5000 .00 18.7500 .00 25 0000 .11 . 0000 .00 .0000 .GO ,II 􀁾􀀲􀀵􀀬􀀰􀀰􀀧􀀠EMPLOYEE 941139 TOTALS; HOURS 40,00 .11 .11 500.00 MCl?254 2/01105 11,28,;<5 1/0l'/os CE:ltT P!R ARCHER "ES'l'1::RN CON"rRAC'1tlf{S, LTD. CERTlFIeD PAYROLL PRO,)£CT PAC!: 15 92:'1 Ii .l\DAMS STREET H£&K ENDING 1\.rapaho Road Phase III 1/09/0S CHICAGO. IL 60607 JOB NVMS£R, 21HOS9 m1PLOYEE DATA SMOIEZ RAm. 5S NUMbSR 6)176:1600 MARITIIL STATUS: 1 EXltMP'rlONS, 30)0 SHAOOW WOOD DRIllS 􀁅􀁍􀁐􀁌􀁏􀁾􀁅􀁅􀀠NO, 94840 DALLAS. '!'X 75224 ETlUUC CODE I'll CHECK NuMBERS, 263226 2H/9U-0096 SEX MALE HIRE DATE 10/19/04 H/'l' GROSS TAX GROSS F.I.T, FICA (HI) FICAiOJ\SDI) 5,1),1 S.U.I. STATE TAl{ CITY TAX CNTY TAX ONION o£o. MISC. OED HlIT PAY .00 S78.00 '12.16 3S.84 II .R .R .H .00 .00 ,00 ,co 461,60 occuP WORK CLASSlFICATION DAtt lHR RTZHR RT3HR)RT4!ia RT HR 5 R'r PAY CODE VAChTION Ii:1IRlUtiGS 􀁾􀀱􀀴􀀰􀀠'IX PIPE FOR£WUl 1/04/2005 10.00 17.0000 .00 25.5000 ,00 34 0000 .00 .0000 .0000 .oo .00 170.00."4140 TX PIPE F01U:NAN 1/06!::I005 'R 17,0000 .00 􀀲􀀵􀀬􀁾􀀰􀀰􀀰􀀠.00 34 (lOOO .00 .0000 .00 .0000 6a.00." ." 4110 'n( PIPE l"OR.EMI\.."l 1/0712005 :10 00 17.0000 .(l(l 25.S0CC .(l0 34,0000 .00 .0000 .., .0000 17(LOO .•••., ." 4140 TX PIPS FOREMAN 1/08/2005 10 00 17.0000 .00 25.500Q .00 34 0000 .oo .0000 .0' ,""CO . 00 170,1.10 EMPLOYEE 94.84.0 1'OTII.l.S: HOURS 34.00 .00 .co 5'18.00 EMPLO'Yn DAr.. '''''''' JOSE ENRIQU'E 55 NtiMB£R 63009(l77$1 MARl1'1IL STATUS, 2 SXEMPTrONS, 3(l22 !".IiADOH WOOD n,RIVE: EMPLOYEE NO.: 94a41 DM.LAS, TX '15224 E'lllN:tC CODE 101 CHECK NUtS£RS, 263214 211/94(;-8301 SE:)( MALe: lURE DATE 10/19/04 NIT GROSS TAX GROSS F.I T. FICAfHI} FlCAiOASOI) 5.0.1 S.U.I. STATE TAX CITY TAX """ TAX UNION OEO, MISC. OED. liET PAY OcctlI' . .00 HORi': 560.00 CLASSIFICATlON 40.S8 )2.2<1 DATE "/.5'1 lHR ,tHi RT2HR RT .oo _ I n 4: 􀁾􀀠4. fi .••S _ .00 RT ?AY CODE .00 VACATION 40 00 EARNINGS 4.3S.34 4136 4::'36 TX TX J 42 Bll.CKliQli: OPERATOR 342 BACKHOE OPeRATOR 1/04/2005 1{06!200S 10.00 10,00 14.0000 14.0000 ,00 .00 21 0000 21,0000 .00 .00 211.0000 28.000(\ .".OC .0000 . 0000 .oc .co .0000 .0000 .co .oc .00 .00 140.00 14.(l,OC 4n6 4136 TX TX ) 42 l42. B1I.Cl:1!OE OPeRATOR OPeRATOR B1I.CIWOE OPEPATOi: 􀀱􀀯􀀰􀀷􀀯􀁾􀀰􀀰􀁳􀀠1/0a/2.00S 10.00 10.00 14.0000 14 0000 .(l0 .00 21.0000 21,0000 ,00 ,00 28.otHHl 2S. 0000 .oo ." • 0000 .0000 .cc .00 .0000 .0000 .00 .., .00 ." ),40 00 14(l.(lC EMP!.OYlC£ 'Hsn TOTALS: HOtIllS 40.00 .00 .cc 561.1.I.1C OED AMNT D&DUCTIml DESCRIPTON 40.00 12.55 WORKAAS nus PROJ11:CT GROSS 'mIS PROJECT GROSS ALL WDB TOTAL m:OUCT1ONS liET PAY TOTAL HOtl'RS " lS,362.90 16.362.90 2,994.1"/13.36S,73 1,151.50 .00 .CC MCP2s4 2/(11/05 􀁬􀁬􀀧􀀲􀁓􀁾􀀲􀁳􀀠1/09/05 CERT ll'/R STH COMP ARCHER WESTERN CONl'RAr:.-roRS LT'D C£ItTlFIED PAYROLLwSTATEME:NT OF' COMPLIANCE 16 l12S W. AOJ\.'4S S'.t"R£l!:T WEeK ENDING: 1/09/05 PROJEC'l', Al!'apaho ROad l"hane III Q{lCAGQ, ILLINOIS 6060"'/JOB 􀁾􀁖􀁈􀁂􀁅􀁒􀁉􀀠204059 􀀽􀀽􀀽􀁡􀀽􀀽􀁾􀀽􀁦􀁦􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀽􀀽􀀽􀀽􀁾􀁁􀀽􀁾􀁾􀁾􀁾􀁾􀁾􀀽􀀽􀁾􀁾􀁾􀀮􀀽􀀽􀁾􀁾􀁟􀁾􀁾􀀽􀁾􀀽􀀽􀀽􀀽􀀽􀀽 􀀽􀁾􀁃􀁾􀁾􀁥􀀽􀀽􀀽􀀽􀀣􀁾􀀽􀀽􀀽􀀽􀀽􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀣􀁾􀀻􀀽􀀽􀀽􀁾􀀽􀁾􀁾􀁾􀁾􀁾􀁾􀀽􀀽􀁾􀁾􀀽􀀽􀀽􀁾􀀦􀁾􀁾􀁾􀁾􀀽􀁾􀀽􀀽􀁃􀀽􀀽􀀽􀀽􀁾􀁉􀁔􀁾􀁾􀁾􀁾􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀁀􀁾􀁾􀁾􀁾􀀽􀀽􀁾􀀽􀀽􀀽􀀽􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀽􀀽􀀽􀀽􀀽� �􀀽􀁾􀁰􀁮􀁮􀁾􀁾􀁾􀁾􀀽􀀽􀀽􀀽􀁾􀁾􀁮􀁮􀁮􀁄􀁾􀁾􀀽􀀽􀀽􀀽􀀽􀀽􀁾􀁾􀁯􀁣􀁣􀁾􀁾􀀽􀀽􀀽􀀽􀁾􀀽􀁾􀀽􀁾􀁭􀁄􀁾􀁾􀀽􀀽􀀠WEEKLY STATEMENT OF 􀁃􀁏􀁍􀁾􀁌􀁉􀁁􀁎􀁃􀁅􀀠2/01/05 '. fM,.v /V/U.U"-< PAYROLL MAh'AGElt, 00 llEREBY STATE, THAT I PAY OR SUPSRVl:S& !HE PAYMENT OF '!lIE 􀁾􀁊􀀺􀀻􀁒􀁓􀁏􀁬􀁩􀁓􀀠EMPl.OYe!) B¥ (ARCHER W£Sn::t\lN CON'I'AAC'roRS LT'D) 'tOR WUK ENDl:NG( 1./09/(5) ALL PERSONS EMPWYED ON SAID PRDJEC!' HAVE ElEIrn' PAlo nlS FtlLL WU1cLY WAGES EARNEO, 'rHAT NO RE:BATES HAVE Em M/WE OR WILL leE MADE EI'I'HER DIREC'l'L'.' OR INDIRECTLY '1'0 OR DH 8£I!1I.t.F OF 511.10 (MOlER 1OES"teR."l CONTRACTORS LTD) FROM TUE FULL WEEKLY WAGES EAltNSD ElY ANY ONlE: PERSON rum THAT NO Oli:tlUCTlONS HAn BEEN MADE: Errm:R DIREC'!'LY OR ItroIR.£C'l'LY FROM TU£ FULL WEEKLY WAGES EAR.NEl) ElY ANY PERSON, O'I'HER 'l'HAN !HE PERMISSlSLE OEDt)CTlON$, AS DEfINJ;D IN REGt.IW\'rlONS, ;>ART :> (Z9 CiR 􀁾􀁁􀁒􀁔􀀠3), lSSUED BY TUE SECRETARY OF LMmR ONDER TIlE COP£.t.1UfO ACT, AS MEN'DEV ('IS STAT, 948, E3 STAT. ).oa, 7l STAT. 967, 40 IJ.S.C. 2G7Cl AND DESCRIBED BELOW; NECESSARY fRINGE BENEFIT AS REQ1J!R£O BY LOCAL MANl.GEMEm-1.JI1\OR ORGANIZATION AGREEMEh"'TS 􀁐􀁾􀁕􀁉􀀺􀀺􀁎􀀧􀀮􀁬􀀧􀀠TO PUBLIC LAW BI!-349 (J\HiNDMENT TO 'l11E OAvrS-ii!.ACON ACT) _-!' 􀁾􀀢􀁾􀀠p?__􀁾..􀁾􀀬􀀠􀁕􀀿􀁇􀁥􀁾􀀠􀁾􀀨􀀢􀁟􀀧􀀬􀁜􀀢􀀾􀁅􀀢􀀧􀀧􀀧􀁄􀁾􀀠.. ,,* £NO OF F"£PORT ..... 􀀫􀁾􀁐􀀲􀀵􀀴􀀠'. 2/01/05 1l.!28!3Ei 1/0,,/05 CERT PIR ARCHER tlESTER.N CON1'rIAC'rORS. LTD. CERTIFISt' PAYROLL PROJECT PAGE 929 W ADAMS STREET WEEK i!NOlNG Arapaho. Rcild Phase In 1102/05 CHICAGO, II., 60601' JOB NUMBER. 204059 EMl"LOYEE OATA GIJ'!'IERReZ FERNANDO Ss N'",1\IIS£1I/. 4.5l'7Sanl WUtIT.I\.1. STATUS: :;: £X£M?TXONS; S!H',1!) CONVEYOR DUV£ EMPLOYEE NO., 65019 CLmURNE, 'I'X 15031 E'taNIC CODE S CHECK NtlMRERS, 􀁾􀀻􀀻􀀲􀀰􀀵􀀳􀀠􀁓􀀱􀀱􀀧􀁮􀀹􀀰􀁾􀀰􀀲􀀷􀀹􀀠S£l( ....". HIRE OATE 01!23/95 N!T GROSS TAX GROSS LLT. FlCAt}!I) 􀁆􀁉􀁃􀁁􀁾􀁏􀁁􀁓􀁄􀁉􀁽􀀠S.O.X s.u.I. STATE TAX CI'l'Y TAY. CN'1'\' TAX UNION OED. MISC, OED. NET P;.Y .00 450.00 30,3$ 27 .90 6 S3 ,00 .00 .00 .00 .00 .00 .oc 365.l!I OCCUP. WORK CLASSIFICATION DATE J.HR 1RT lHR 2RT HRlRT411R RT 5 HR S RT PAY CODE VACATION E""'moo 􀀴􀀱􀁾􀀷􀀠TX WSEXL'i FIELD L.Ai3ORltlt FOR!':M.l\N 12/21/2004 8.00 18.7500 . 00 a8 1300 .GO . 0000 .on .0000 .·00 .0000 .00 .00 150.00 : wEEl:J..Y t-"I:ELD LABORi:R roR£M)\N 12:/2:1.1/1004 a 00 15.751,11,1 • CO 28 1301,1 .00 . 0000 .on .0000 .00 .0000 .00 .00 150.00 U2'7 TX W£EKl..Y nELD LABORER FOREMAP 12/31/aOO( a 00 18."1500 , 00 􀁾􀀸􀀠1300 .00('0 .00 ,0000 ,0000 .00 .00 150.00." ." EMPt.OVEl:: 55019 TOTALS: HOURS 24.00 .00 .00 450.00 EMF'I,oYl:£ DATA MARTINEZ J ROSA!t!O S5 NUM!lER EtllnGl?!( MARITAL STA'!US; 2 £XEMP'I'IONS: • 3207 OEEN EMP!.OYEE NO.' 65026 FORT WOR'rn, TX "l5lOE> 􀁾􀁬􀁃􀀠COOl\: S CtU:CK NUMBERS: :a,:/osa 􀀤􀀱􀀷􀀡􀁇􀁬􀁇􀁾􀀴􀁬􀀵􀀳􀀠SEX MALE HlRll! QJ;T£ 01/30/95 N/T GROSs TM. GROSS F.LT. FICAjaI) 􀁆􀀺􀁉􀁃􀁁􀁾􀁏􀁁􀁓􀁄􀁉􀀩􀀠S.D.!. s.u.I. STATE TAX CITY_ CNTI TAX UNION OED. MISC. OEO. N£T P;'Y ,00 £00.00 .00 34. n 8.12 ,00 .00 .00 00 .00 .00 "00 .n." OCCUP. ,IORK CWlSSlnCATION 1:HR P;T ZHR 2RT I1R l RT 4 HR RT 5 HR 5 RT PIW CODE vhCATZON EARNiNGS""'" 4)35 '1'X 369 LOADER OlI1i:RATOR 12/27!l004 8.00 1S.COOO .00 22,5000 .on .0000 .00 .0000 .00 .01,100 .00 .00 120,00 4135 'ft: l69 LOAnER OPERATOR 12/31/20"" S.OO 15.0000 .00 22 5000 .00 .0000 .00 . 0000 .00 ,0000 .00 .00 120.00 EMPLOYEE: £5026 TOTALS, HDtl'RS HDtl'RS 1£ ,00 .00 .00 240.00 oeD AMNT DEDUC'!'lON DESCRli'TON 40.00 125S .-- ••• MCP254 2/01/05 l.l,28,36 1/02/05 CER'f P/R ARClum WESTERN CONTR.ltCl"ORS, L'I'D, C E R T I F 1 F. 0 PAY ROt L P.kOJECT PAGE: 2 '>29 W ADAMS STREET WEEK &NDW!;; ArapahQ 􀁒􀁾􀁾􀀠Phase III 1/02/05 CHICAGO, IL 60(;07 J08 NUMBER. 204.059 EMi>U)'fEE DATA RICO M'TONIO SS NtlMBER 65198:H12 AARITAt. STATUS, 1 EXEMPTIONS, 4 7037 'l:'OLAtlO EMPLOYEE NO, 65018 DALLAS, IT. 75227 ETHNIC COOE S CHSC>: NUI'otSEf{S, 261.51.9 􀀻􀁮􀀼􀁬􀀯􀀲􀀷􀀵􀁾􀀰􀀶􀀴􀀮􀀹􀀠SEX HALE ItlltE DATE 02/21/95 NIT GROSS TAX GROSS F.l,T. FICAls::::} 7lCA{OASOI! $,0.1 S.C,l, STATE TAX CI'1'\' TAX = TAX tJNlOIf OED. MISC, DEO. NET PAY .00 663.00 <18.01 4L11 .00 .00 .00 564..27, " ." .H ..." OCClJl' • WORK CLASSIFICATION 1 HR 1. R't' HR .. RT D 3 RT 4 HR I H 5 D RT PAY CODF. 􀁖􀁁􀁃􀁁􀁾􀁬􀁏􀁎􀀠RAJUUNGS""'rl' SEl: MALE HUE DAn:: 04/01/9(. N/T (IROOO TAX GROSS !".I.T. r:rCA'Hl) FICA(OASDI) S.D.! S.U,I. STATE TAX CITY TAX CHTY TAX WION 05:0, MISC. DEl.'>. NET PAY 􀀭􀀭􀁾---_.. -------------------􀁾􀀠􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾-- .. 􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀀭􀀭􀀭..,.00 463,(10 31.Z8 28.21 '51 .00 .00 .00 .cc .00 12.00 lU.a4 OCCllF , WORK CL./ItSSIFlCA"I';rON DATE 1 Hk RT fiR ,2 R'l' HR itT " lUI: RT S HIt RT 􀁾􀁁􀁙􀀠COD£ VACATION RARNINGS 4113-1'X CAR,PENTE:R FOREMAN 􀀲􀁚􀀯􀁚􀀷􀀯􀀲􀀰􀀰􀁾􀀠a.oo 19.5000 .CO 292500 .00 .0000 .00 .0000 ,00 .0000 .00 ,00 2$6.00 4113-n:: Cl\.RPENTE:R FOREMIill 22/26/2004 8.00 29.5DDD .oc 29 2500 .00 . DOOO ,'0 .0000 ,00 .COOO ,DO 156,1'10,,, 4123-TX 􀁃􀁁􀀱􀁴􀁾􀁒􀀠!"OREMAN lZ/)1/2004 8.00 19.5000 .00 29 2500 .00 .0000 .00 .0000 .00 .COCO .00 15,$,00." )f;!IJl'LOn;S 6513 9 'roTA:LS; HOURS 2'i _00 .00 .11 4611.00 DEC AMN'!' OEDUCTl:ON DESCR:rPTON 1.2.00 12SS •• ••• 􀀬􀁜􀁾􀁃􀀺􀁐􀀲􀀵􀀴􀀠2101/05 11: 28: l& 1/02/05 CERT PIR ARCI!£R HESTERN CONTRACTORS, LTD. C E R T ! F ! E 0 PAYROLL PROJECT >AGE 􀁾􀁮􀀠W /iDAMS STREET '404 BltOQtulAVEN EMPLOYEE NO.' 6a04a 'fORT WORTIl, TX 76133 ETHNIC CODE S CHECK N'UMBERS, 262040 617/92)-28)4 SEX MALE HIRE OJ\TE 02/23/910 NIT GROSS TAY. GROSS F.I T. FIClUR!) FlCA{OASDI) S.D.l 5.V.I. STATE TAX CITY TAX CN"TY TAX UNION PEl), MISC. DED. NIIT PAY 􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀁾􀀠.00 244.00 .01 12,65 2.S& .00 .00 "" .HOI 1101 _ •• OCCUP. WORK CLASSIf!CAT!ON OA'rE 111R1RT fiR 2 itT fl. itT 4 H:R 4 l'I:T 5 RR 5 itT PAY CODE VACJt: XU 1/02/05 CH!I:AGO, IL 60G07 JOB NUMBER. 204059 EMPLOYEE DATA SEMA EMERAROO SS N'UMUER 461!Hf'J896 I"..MITAL STA1'\.IS, 2 EXli."MPTIOMS· , 1114. SOUTH W1>.VE!U.Y 􀁾􀁐􀁌􀁏􀁙􀁅􀁅􀀠tID., 6&169 DALLAS, TIt 􀀷􀁾􀀲􀀰􀀶􀀠E'l"lINIC CODE S CH£CK N't.IHBEUS: 􀀲􀀵􀀲􀁾􀀲􀀰􀀠􀀲􀀱􀀴􀀮􀀯􀀹􀀴􀀮􀀲􀁾􀁓􀀲􀁕􀀠SEX MA!.E HIRE DATE Oa/09/99 HIT GROSS TAX (!!tOSS F.!,T, 'FIChU!:!) FlCA(OASDI) S.D.l SU},I, STATE TAX 􀁃􀀡􀀧􀁬􀁾􀀠TAX CN'l'Y 1'A)!; UNION OED. MISC. OED. Nbl' PAY -------_.---􀀭􀀭􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀠􀁾􀀭􀀭􀀭􀀭􀀭.00 705.00 21).)5 41.23 􀀹􀀮􀀶􀁾􀀠.00 ,00 .00 ,00 .00 .00 40 00 59),111: OCCUr? WORK CI,ASSIFICATION DAn IHR1R'j2HR2RT 1m 'RT II> RT 5 HR 5 RT PAY CODE VACATION EJUUfINOS 4115 TX 116 CARPENTER l2/21/2004 5.00 15.0000 ,00 22.5(01) .00 .0000 ," .0000 ," .0000 ,00 .00 15,00 EMPLOYEE 681U TOTALS: H01..'1!.S !ii.00 ,00 .00 75.00 OED AHNT OSOUC'!'ION DESCRIPTON 4.0.00 USS £Mr?LOYEE DATA OIl.V!:t.A HUGO SS NIJM1!IEf! 6406009224. fI'.ARlTM< STAros: :2 EXEMPTIONS: , 3211 􀁾􀁓􀁔􀀠D!V!SON 102 EMPLOYEE NO.' >6li206ARLINGTON, TX ,>6012 !IT"'''C CODE , S CHECK ffiJHl!I£RS, :26:211.6 􀀸􀀱􀀷􀀯􀀹􀀰􀀹􀁾􀀴􀀮􀀵􀀾􀀶􀀱􀀠MALE HIRl!: D).T£ 09/n/!t!1 NIT GROSS TAX GROSS F.I.T. nCAiHl) FlCA (OnZOI I S.P.I S.U.I. STAn:; TAX eln TAX CNTY TIU( tINION OED. MISC, OED. NET PAY."" 􀁾􀀭􀀭􀀭􀁾􀀭􀀭􀁾􀀮􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀮􀁾􀁾􀀭􀀭􀀮� �􀀭􀀭..----------􀀭􀀭􀀭􀀭􀀭􀁾􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭...􀀭􀀭􀁾􀀭􀁾􀁾􀀭􀁾􀀭􀀭􀀭􀀭..􀁾􀀭􀁾􀀮􀀭􀀮􀀭􀀭􀀭􀁾􀀭􀁾.00 575.25 16.13 34. !t2 li,l, ,00 ,co .Oot! .00 12,00 501.63 , ." , " OCCUP. WORK CLASSIFICA't'lON DAn 1 HR 1 Rr , HI! Rr HR , or HR , RT HR 5 RT PAY CODE VnCA'l'X01'i ElUtH:tN05 U5l 'J'X 166 FORMS SET'I'ER 12/2')/2CQ4 5.00 H.1!ii00t) ,GO 22,1300 ,CO .0000 .00 .OOOQ .00 .0000 ,00 ,00 7),15 EMP1..{)YEE 611:20$ TOTALS, HOURS 50.00 ,00 .00 13.15 DSD AMllT OtDUCl'ION DESCRIP'rON 12.00 125S XCJ:>:4.00 DED lIMNT DEDUCTION DE5CRIProN 12.00 125$ EMPLOYEE OATA RAMIREZ PABLO 55 NtJMBER 675437869 M1ti<.ITAL STATUS, 1 EXF.foIPTIONS, 2633 ANDReA LA.'m EMPLOYEE NO. S82SS DALLAS. TX 75228 E'IlfHIC COOE 5 Q;ECK NUMBERS, 262!l63 􀀲􀁈􀀯􀀳􀀲􀀴􀁾􀁈􀀲􀀰􀀠SEX MALE JUJU: DATE 01/18/00 N/T GROSS TAX GROSS V.I T, .-:ECAUU' f"ICAtOASOI} S.O.I S.U.I. STAn: TAX ClTY TAX 0lT( TAX UNION OED • MISC. OED, !1ST 'PAY otcuP. • 00 WORK 6"11>.52 CLASSIFICATION 94.S) 42.07 !lATE 1 ',M" HR 1 RT 2 HR "2 RT 30 ,00 HR l RT .." 4 81'1: 4 RT 5 81'1: 5 .00 TIT PAY CODE ," VACATlON .00 532.03 EARNINGS 4115 4.115 4115 4115 4.115 TX l1S CARPENTER TX 118 CARP!;;N'rS1!. T.X l1S CARPENTER TX 118 CAAPE:tn"ER TX 11.5 CARPEN'l'ER 12/27/2004 12/28/2004 12/29/2004 12/30/2004 12/31/2004 S,OO 10.00 10 00 10 00 00 14.7S00 14.7500 14 7500 14.7500 14 7500 .00 .00 .00 .00 4.00 22.1300 :22.1300 n.noo 22 1300 22.1300 ." .00 ." .00 ,00 .0000 ,0000 .0000 .0000 .0000 .00 .00 .00 ,00 .00 .iHH.lO 0000 .0000 ,0000 ,0000 .00 .CO .00.. .00 ,0000 .0000 .0000 ,0000 .COOO .00 .00 .00 .",GO .00 .00 .00 .00 .00 132 '75 1<17 50 H7 50 14:750 10),27 F.MPLO'lEE 66266 TOTALS, HOt.'RS 44 ,00 .00 .00 67EL 52 􀀻􀀮􀁸􀀮􀀺􀀺􀁴􀀾􀁾􀀡􀁩􀀴􀀠2/01/0S 11:26,16 1/02/05 CEltT plR ARCHER WESTERN COFl'l<.ACT'ORS, L'l'O. C £ R l' I FIE D PAYROLL PROJECT PAGE 92:$ 'W AOJ\.MS STREET WEEK E:NDXNG Arap.WQ Road Phase III 1/02/05 ClfICAGO, !L 60607 .ro:a NUMaER. 204059 EMPLOYEE DATA BARBOZA .roM .. 55 M(.'MSER 4:27718611 MARITAL STATUS: 2 EXEMPTIONS: 334 0 CARIBBE1I.N EMI?WYEE NO.' 65211 􀁾􀁬􀁅􀁓􀁑􀁻􀁊􀁲􀁔􀁅􀀬􀀠TX 75150 la"I'KNIC CODE S CHECK NUMBERS; 262019 􀀲􀀱􀀴􀀯􀀵􀀺􀀲􀁬􀁾􀀳􀀱􀁾􀀷􀀠SEX MAL. HIRE DATE 01/19/00 1'/1' GROSS 'tAX GROSS F.r:r, FICA1HI) FlCA(Oll.SPIl S.O.I S.U.I. STATE TAl( Cl'TYTAX CNT'I TAX UNION DEQ, !>usc:. Dlm. tIlIT PAY _co G21. 00 37.57 lS,So 5<.00 _00 .'0 -00 _co .GO 535.93." ." OCCUP. WORK CLASSIFICATION DAn; :1 HR 1 RT :2 UR 2 RT 3 HR J RT HR itT 5 HR RT PAY CQOE VACATIQN EARNINGS 4115 1';( 118 CARm."TER 12/2'1/2004 00 l),50oo 20.2500 .00 27 OQGO • DOOO -co ,0000 .00 1:<1,50." ." ." 411S TX 118 CARPENTER 12/2a/2004 10 00 1].,5000 20.2500 ,00 2'1.0000 .00 ,0000 _00 .0000 -00 135.00 ." ."n:1s TX 118 CARPENl'ER 12/29/2004 10.00 1),5000 20.2$00 .00 27.0000 .CO .0000 .00 .01.100 .00 _00 12$.00." 4115 'I'X 116 CARPEN'1.'ER 12130/2004 IO,DO ll.5000 _00 20, ZSOD .DO 2'1.0000 .0000 .00 ,0000 -00 H5,00." ." HiS TX 11S CARPENTER 12/31/2004 1.00 1305000 4000 20.2500 .00 27.0000 .0000 .CO .0000 .CO 94,50." -" EMPLOYEE 6S271 TOTALS: HOURS 44 .00 .00 .00 6n. DO EMPLOYEE DA'tA 1.L.l\M1\S VALENTF. ss Nt.'MBER 60828062'1 MARITAL STA1'US, 2 £X.EMPTIONS; 1 515 eAST 'rYLE:R S'l"RSE;T £Mli't.QYEE NO. 682'14 RICHARDSON,'I'X '15081 £'!'llNIC CODE S CHECK NUMeERSl 262055 􀀹􀀷􀀲􀀯􀀷􀀰􀁓􀁾􀀹􀀺􀀲􀀱􀀱􀀠SEX HIRE DATE 01/l1/00""".NIT GROSS 'tAX GROSS F .1.1'. FlCAml) F'IClI.[OASCI) S,D.I S.U.!. STATE TA}t ern TAX CNTY TAl< UNlON OED. MISC, O£O, NET PAY .00 560.50 40.73 35,99 B.42 .00 .00 .00 .00 .01.1 .1.11.1 ,00 49S.36 OCCUP. WORK CLASSIFICATION DAn: 1 HR itT HR :2 RT HR 1 RT 4 HR 4 AT 5 HR itT lWt CO!')E VACATION s.umNGS 4115 'I'X 118 CARl?ENl'£ll 12n7/2004 10.GO 1),5000 20.2500 .PO 2'1.0000 .CO • 0000 .CO ,0000 .GO 135,00." ." 411$ 'EX 11B CARPEN1"£ll U/Z9/2004 9.00 J.l,SOOO _00 20.2500 27 .OGGG · 0000 00 .0000 _00 121, 50." ." .., ." U1$ 'I'X HB CARPENTb:R l2/Z9/2004 12.00 1) 5000 _00 20.2500 .00 27.0000 _co · 0000 .1.1000 -CO .00 lI.l2,OQ 411S TX 11B CARPENTER U/JO/<,'IHa 9.00 lJ.SOOO 2.00 20.2500 .00 27 OOOG , 0000 _00 .0000 _00 .CO lU.M." EMPLOYEE 6B1'14 TOTALS; HOURS 42.0(1 _co -00 SSO.50 􀁴􀁾􀁴􀀧􀁐􀀲􀀵􀀱􀀠2/01/05 11,28,36 11M/os CER't P/R ARCHER WE57&JW: (.'ONTRAcroRS. LTD, CERTIFIED PA:I'RDLL PROJECT PAGE 929 '\II l'IllAMS S'l'lU!ST W£EK ENDING Arapaho Road Phase XII 1/02'105 CHICAGO, XL 6()61}7 JOB NUMBER. 204059 EMPLOYEE 01l.'l'A ROMO CE5AA ROLANDO 55 N\JMBER 64:32I}S346 Ml\.RITAL STA."!US: 1 :E:Xll!MPTrONS, , ;no" CLYDEDALE ORIIIE EMPLOYEE NO •• 6.en5 DALLAS, TX '15220 ETHNIC COOS S CHECK NUMBERS: 262064 2H!35l-90G7 SEX HALE HIRE OA.TE 04/07/00 NIT GROSS TAX GROSS F. I.T, FICAtHr) FlCAiOASOI) S.O.I S.U.I. STM.'£ TAX crTY TAX om TAX WION OED, MISC. OED. NET PA:I' .00 861.00 99.38 50.90 􀁾􀁌􀀹􀀰􀀠,00 ,00 .00 .1}0 .00 .00 40 00 658.82 OCCUP. t10RK CLIISSIFlCJ\TION DATE 􀁉􀁈􀁾􀀠1 RT 2 t{R 2 RT 3 Hi< ,) RT 4: HR 4. RT HR 5 lIT PAY CODE VACATION EARNINGS 􀀴􀀮􀁾􀀺􀀺􀀡􀀵􀀠't'X )69 LOADSR OPSAATOR 12/27/2004 10.00 14 I}OOI} .00 :21.0000 .00 26.0000 .OO ,0000 .00 , 01}1}0 ,GO 140.00." 4.135 't'X 369 LOADSR OPERATOR 12/28/2004 1t),O'O 14 0000 ,0'0 21.0000 .00 28.0000 ,00 .0000 ,GO .0000 .00 ,00 140.00 4135 't'X 369 LOADF.R OPERATOR 􀁾􀀲􀀯􀁡􀀯􀀲􀀰􀀰􀀴􀀠􀁾􀁏􀀮􀁏􀁏􀀠14 0000 .00 21.0000 .00 28.0000 ,CO .0000 .0000 ,00 140.00," ." 4135 TX 369 Wl\.0Elt OPERATOR 12/)0/2004 10 00 14,0000 .00 21.0000 .00 26.0000 .00 .0001} .00 .0000 .CO .00 140.00 -a35 TX 369 LOADER OPERATOR 12/n/2004 .00 14.0000 800 21.0000 ,00 2a.ooot) .00 .0000 .00 .0000 .00 .00 16$.00 EMPLOY??, 68335 TQTJU.5: t{OURS 19.00 .00 ,00 728.00 OED AMN'1' DEDUCTION DESCR!?TON 􀁾􀁏􀀬􀁏􀁏􀀠n5e EMPLOYES DATA RICO A'LI'IERTO JAn 118 CARPENT£R TX 118 CARPENTEI'< TX US CARPENTER 12/29/2004 12/31.1/2004 12/31/2004 11.1 1.11.1 10 00 .01.1 lS 2500 l5 ?SCO l5 25M .01.1 ,00 5 1.11.1 22,681.10 22.881.11.1 22.8800 .00 .00 .00 ,OMo .1.11.100 .1.11.11.11.1 .00 .00 .00 .001.10 .01.11.10 .1.11.100 .GO." . 00 .0001.1 .001.10 .0000 .00 ." .00 .00 .00 .00 151.!>0 152, SO 114,'10 EM'PLOYEE 68545 TOTALS, HOURS 45,00 .00 ." 72L40 OED AMNT DEDUCTION DESCRIPTON 12.1.10 125S 􀁾􀂷􀀺􀀼􀀺􀁐􀀲􀀵􀀴􀀠2/01/05 11: 28,36 1!02/CS CERT p/R ARClfER WESTERN CON'l'Rll.<.'1ORS. LTD. 􀁃􀁅􀁒􀁔􀁉􀁾􀀧􀁉􀁅􀁄􀀠PAYROLL PROJECT PAGE 10 929 WADAMS STREET W&&K h"'N'DING Arapaho Road Phao.:e III 1/02/05 CHICAGO, II. G0607 .101). N'tMSER. 204059 £MPLOYEE DATA MADRID NAVA ROMAN 58 Jf'tlHBER 591426435 􀁾􀁉􀁔􀁁􀁌􀀠STATUS, 2 EXEMPTIONS, 1::/01 ST LOUIS AVENUE: EMFLOYEE NO. G6GeS FORT WOR'm, TX 76104 smmrc CODE S CHECK NUMBERS; 2620S6 81'1/331i·4.231 SEX MALE HIRE DATE 11/16/01 NIT GROSS TAX GROSS F.I.T. FlCA(HI) YiCA!01l.S0l) S.D.I S.U.I. SThTP. TAX ern TAX CNTY TAl( t.lFlON PED. MISC. OIID. NET PAY . 00 665.00 22,$0 lS.75 ;<'06 ,00 .00 .00 .00 .00 .00 􀁾􀁦􀁌􀁏􀁏􀀠554..G9 OCCUp. WORK CLASSIFICATION DATE 1 UP. 1 RT Z HR 2 RT J HR J RT 4 HR 4 lilT 5 HP. 5 RT PAY CODE: VACA'l'lON EARNINGS 4115 'IX 118 CARP£NTER 12J:!7/2CC4 10.00 14 (IOoe .CO Zl.0000 ,co 26.0000 .00 .0000 .00 .cooo .00 .00 140.00 4115 'IX 116 CARPENT!:."R 12/26/2004 le.ee J.4..IHI¢O .00 21.0000 .00 ze. 0000 .00 .0000 .00 .0000 .00 .00 110.00 U15 U15 '!"X 116 CARplmTER 12/29/:<004 10 ee 14.0000 .00 21.0000 .00 28. (](HlO .00 .0000 .00 .0000 .00 .00 140.00 4115 TX 116 􀁃􀁁􀁒􀁰􀁅􀁾􀀠12/30/ZO\)4. J.O 00 11 0000 .00 21. 0000 .00 28.,(\(100 .PO .0000 .00 .0000 .00 .00 HO.OO 4115 '!'X 116 CARP£!iTEJI 12/31/2(1)4 .00 l4. 0000 500 Z1. 0000 .00 Z6.0000 .00 .0000 .00 .0000 .00 .00 10S.00 EMPLOYEE 66665 TOTALS: HOURS 45.00 .00 .00 66S.00 OED AJotN'l' DEDUCTION DSS("Rlf"TQN 40.00 lZSS £MpLOYEE DATA 'l'ORRES JUAN LUlS ss NUMBER 􀀴􀀮􀀷􀀰􀀱􀁾􀀴􀀮􀀷􀁇􀀹􀀠MARITAL STATUS: 2 EXEMPTIONS, IB11 .LA PRADA DRIVE APT 2054 EMPLOYI:."E NO.' l>S70l CALLAS, TX 75226 smmIC COm: 5 CHeCK U-"lHSERS, 2620'70 214/GGO-);l'1iS S&'X WILE HIRE OA'I'€ 1.11/16/02 NIT GROSS TAX GliI:OSS F.l.T. FlCAtHI) FlCA(OASDIl S ,0,1 S.U.I. STATE TAX CITY TAl( CNTY TAJ< ONION Oti:D. MISC. OED. NET PAY ____ 􀁾􀁟􀁶__ .00 G24.00 16.40 36.21 4.'1 .00 .00 .00 .00 .00 .00 4000 520.92 OCCUP. WORX CLASSlFICATION DATE lHR1RT2HR RT3HR RT IIR 4RT SUR RT PAY CODE VACATION £ARNINCS 4126 '!"X 1'12 CQII.:MON LABORER 12/2'7/::!OM 3000 12.0000 .00 12.0000 .00 24.0000 .00 .0000 .00 .0000 .00 .00 120.00 4126 'l"); 1 72 COMMON l.Jl::8ORiR 12/28/200;\ J.O 00 12,0000 .00 18.1.1000 .00 24,0000 .00 .0000 .00 .00000 .00 .00 120.00 4126 '\'X 1'12 COMMON LABOrum U/29/2004 le.oa 12.oCO(l .00 16.0000 .00 24. 0000 .00 .0000 .00 .0000 .00 .00 120.00 H2G '\'X 172 COMMON I.ABORER 12/30/2004 10.00 12 0000 .00 16.0000 .00 24. 00(\(1 .00 .0000 .00 .0000 .00 .00 120.00 4.121> 'l"); 172 COMMON LASOR£R 12/31/2004. .01,'1 12.0000 6,1.11.1 16_000C .00 M.OOOO .00 ,0000 .00 ,0000 .00 .00 14.4..00 EMPLOYEE 68102 TOTALS, HOURS 41'1.<)0 .00 .00 G21, PO OED AJotN'l' DE:nUCTlON DSSCRII'TON 4.0.CO 1251; ,rt:;P254 2/01/05 11;28,36 1/02/05 CERT P/l!!. ARCHER weSTERN CONT!!AC1'ORS, lim. C Ii: R T IF! E 0 PAY ROL" PROJECT PACE 11 929 w ADAMS 􀁓􀀧􀁊􀀧􀁒􀁾􀁅􀁔􀀠WEEK ENDING Arapaho Road Phase III l/02/0s CK ICACO, :IL 60<;0"7 JOB NUMBER. 204059 EMPLOYEE DATA ESCOBAR EMILIO SS NUMBER 465298"128 MAl'!ITAL STA'I'US, :2 s:mi.:Mln'IONS: , 2230 AVE A iSMPLOY££ NO.· 68"798 GRAND PRAIRIE, 'TX "7S0.51 I>-nmIC CODE C CHECK 􀁾􀁊􀁍􀁂􀁅􀁒􀁓􀀬􀀠262048 9'12/264-9145 SEX MALE HIRE DATE 05/02/02 N/T 13ROSS TAX GROSS 7.LT. FlCA(HI) FtCA (OASOI) g,O,I S.U.I. STAn; TAX crn TAX 01'l'i' TAX '..mION OED. MISC, DED. NET PAY .00 991.20 68.64 58.9':1 13 .79 .00 .00 .00 .00 227 Sl 621.99." ."QCCtIP, WORX CLkSSIFlCATION ro"" HR 1 RT lIl<. 2 RT RT 1m RT S HR 5 RT PAY CDOE VACATltm EArunNGS.. 􀁾􀁾􀁾􀁾􀁾􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀮4124 'l"); WEEKLY INS'l"'A1'JJ'olurr MAN 1/01/2005 8.00 16,8000 00 25,2000 ,0000 .l}{;OO .00 .0000 .00 .00 134...0." ."4124 'TX WBEKLY INS'l"'AIJM:ENT I'UIN 12/;;:"1/2004 10,00 16 !WOO ,co 252000 ,,, .0000 .0000 .00 .0000 .00 .00 16a.OO." U24 'TX WEEKLY INSTRUMENT HAN 12/2S/20tH 1000 16.8000 .{lO 25.2000 .0000 .00 .0000 .OOCC .00 .00 168 00." ." U24 'TX wuttLY INSTRUMENT MAN 12/29/2004 1000 16,0000 :LOO 25.:1000 .00 .00011' .0000 .eeoo .00 ... 21f:l. 40." ." U24 TX WEEKLY INSTRUMENT MAN H/)0/2{104 1000 U,8000 .00 25,20tltl .00 ,00011' .00 ,0000 .00 .oeoo .00 .00 1&6 00 U24 'l"); WEEKLY INSTRUMENT MAN 12/31/2004 8.00 16.8000 ,00 25.2000 . 00 .O{!{!O .00 .0000 .no .0000 .00 l34 40." EMPLOYEE 68'198 'l'Q'l'1I.LS, HOU'RS sa.oo .00 991.20." OED AMNT oeDUCTION OESCRtPTON OED AMi.'"J' DEDUCTION" C£.SCRIPTCN 18"7.8:1. CHILO SUPPORT 40.00 12513 EMPLOYEE DATA MILLER TERRY L. SS N'tIlIeER SOS':1G&GIil MAl'!ITl'I1, STA'l"IJS, 1 EXEMP"t"IONS: 9"794 SUADY LANE FJ.1PLOYEE liD.' 6BfHHi ou:nn.1I.N, TX 75474 E'l"HNIC CODE C CHECK N"JMSERS; 262059 903/)56-2286 SEX MALO HIRE DAn;; 05/07}02 N/T GROSS TAX GROSS F.I,T, FICAIHI) FICA(OASDI) S.O.I S.U.I. STATE TAX C!'l'Y TAX CN'l'i' TAX UNl0N oro. MISC, OED. NET PAY .00 all",/(, 111.4Q 4':1.':14 llH .00.." .00 .00 ,CO 1211 1-8 512.91 OCCUP. WOkK CUlSSn'ICAT!DN DATE 1 D 1 􀁾􀀠2 AA 2 U 3 AA l ft 4 m Yl:T 5 HR 5 RT PAY CODS VACATWN EMNINGS 4ll'1 'TX 342 CAAm: OPERATOR 11/2':1/2004 8.00 20.2500 . GG :J.O latiO .•0 ,0000 .00 ,0000 .00 .0000 .00 .CO 162.00 un TX H2 CJIJIlf£ OPERATOR l2/2aj20c4 6.00 20 2500 ,00 )0 3800 .00 .0000 .00 .0000 .00 • COOO .., .00 162.011' 4l)'} '.0; H2 CP..ANt OPERATOR 12/29/2004 B.OO 20 2500 ,00 30 3-800 .00 .0000 .00 .0000 .00 ,0000 ... .00 162.00 4:1.3"1 TX 342 CAANE OPERATOR 12!J0/20G4 lLon 20.2500 ,00 )03800 .00 ,0000 .nn .0000 .00 .OOCO .00 ,00 lG2 1.11.1 UJ7 '.0; H2 CRANE OPERATOR 12/31/2004 a.oo 202500 0;:; 30 .3aOO " ,0000 .DO .0000 .CO .eeeo .00 1&2 00," EMPLOYEE 68806 TOTM.S: HOURS 40.00 .00 .00 810.00 OED MEN"1'ER 12/30/2004 10.00 14.5000 .00 :.:1.7500 .00 .0000 .00 ,0000 .00 .0000 .00 .00 145.00 4115 TX 118 CARP£NTER 12/Jl/OlC04 1,00 14 5000 4.00 21,7500 .DO .0000 .00 .0000 .00 .0000 .00 .00 101 50 EMPWYtt 689'15 TOTALS, HOURS 41.00 .00 .CO 661.00 KCP2S<1 l/Ol/ti5 U,n,)6 1/02/1).$ C&RT p/lt ARCHER WESTERN CONTRACTORS, 929 W ADAMS S'l"ltEn' OIIChOO, XL L'ro. 60607 CERTIFIED PAYROLL WEEK ENDING li02/0s PROJZCT Arapaho Road Phase HI JOB N"JMBER. 2(1<1059 PAGE 13 D',PWYEE OA'f'A ORTIZ uooe 3122 SAN Fli'1INOO DRIVE ARLlNGTON, TX 817/649-1860 NiT GROSS 76010 TAX ss NUMBER EMPLQYl!:!i: NO. £THNIC COOl!: Sill( GROSS F. I.T. 46927?1H1J MARITAL ST)'TIJS, 2 RXEMM'XONS, 68996 S M"'" OIECK NUMBl!:RS, 2621U HlRE WI'1£: 08i1.2/02 FrCA\!!:!) FICA(OASOI) S.D.I , S .U, I. STATE TAX CITY TU CNTY TAr. imIOf>I OED. MISC. OED. NET PAY ""-"UP . .00 409.50 WORK CtJ\SSUICATION .00 2S .39 OATl! 1 Ul{ 94 1 Itt 2 .00 HR 2 itT .00 RR RT .00 4 HR ot RT .CO 5 In'!. 5 .00 RT PAY coos: ,00 VAOTION .00 £A.R.NINGS 37B.l'1 4153. TX 166 FORMS SE'r7'l>1{ 􀀱􀀲􀀯􀁚􀀷􀀯􀁚􀀰􀀰􀁾􀀠5.00 1(1,5000 .00 :1.5.'1500 .GO ,0000 EMPLOYEE ,00 &8991;1 .0000 .00 TOTALS: 1t0l)RS ,Qeoo 􀁾􀀮􀀠00 .00 ." ." .CO S2.S0 52. SD EMPLOYEE DATA OlttX:! JORGE 31.22 SAN FRANOO ruu.INGroN, '!X 817/400-53.16 NIT GROSS L. L. 55 NUMBER EMPl.!)YF.€: NO •• '16010 ElHNIC COO£ SEX ?AX GROSS F.I.T. 6038'10912 68999 MARITAL STATUS, 2: SXSMPTlONS, S MALE CitECK NUMEZJl.S; lURE DATE FICA (HI) no!OA$DI) 262:1:18 OIJ/12j02 S ,D.I S.O.I. STATE TAX CIn' TAl{ CNTY TAX Ul4"ICtN oa:o. Mrse. OED. Nl.'l" PAY 0=. .00 WORK 􀁾􀀰􀀹􀀬􀀵􀀰􀀠ClASSIF1CAT!OO .CO 24.65 DATE 1 5.76 HR 1. itT 􀁾􀀠00 􀁾􀀠􀁾􀀠3 •• U 3. n .00 HI< 4 itT .00 5 Hit $. .00 itT PAY CODE .00 VACATION 12.00 EARNINGS 367.09 US) 'Tli. lee FOFIMS S£"'l"l'ER 􀀱􀀲􀀯􀀲􀀷􀀯􀁾􀀰􀀰􀀴􀀠5.00 10.5000 .00 IS.7S00 .00 .0000 .00 ,cooo .CO .0000 .00 .CO 52. so EMPLOYEE 65999 TOTALS, 1t000000S 5.00 .00 .CO 52.50 OED AMNT 12,00 OEotlC"l'rON DESOI!l"'tON 125S EMPLOYEE DATA RICO JAVIER 283.9 1\LASv.. AVEnuE DAJ:.LAS, TX U4/9'1S-0649 NIT GRQSS 55 NUMBER 438295674 MARITAL STATUS, 􀁾􀀠EXEMPTrONS, EMPLOYER NO.; 692:1:1 '15216 li:l'HNIC coDe s SUo MALE TA.X Gi\OSS F I,T. CHECK NUMBERS, 'iUS20 HIRE OATE 10/02/98 FICA (HI) Fl.CA (01\SOI) S.D.:! , S. U. I, STATS: TAX CIT'! TAX CNTI' XU WION OECl. MISC. Dro, NET PAY OCCJP. .00 510.00 WORK CLASSIFICATION 23.3:1 :n.62 DAn ?40 1HR :1 itT ." HR 2 RT .00 ... RT .CO 4 UR RT ." 5 Hit "00 itT PAY roOE .00 VACATION .PO SARNINGS 44'1,6'1 4126 4126 4126 4126 TX 172 COMMON LAaORZR TX 172 COMfolON LABOltER TX 112 CO!+)ON lIABOlU>R '!'X: 172 CO!+)ON lJUIORER 12/27/2004 l2/28/2U04 12/29/200( 12/30/2004 10.00 10.00 12.00 8.00 20 0000 lC 0000 10 0000 10 0000 .00 .00 .00 2.00 15.0000 15.0000 l!LMoO 15.0000 ."."." .00 .cooo .COOO .0000 .ocoo .00 .GO .00 .00 .0000 ,cooO .0000 .0000 ." 00 .00 ." . 0000 •OODD "OODO .0000 .00 .00." .CO ." .CO .00 .00 100.1)1) 100.OG 120" 00 110.00 I':CP2S'I 2/0l/05 ll,28;36 2/02/05 CERT pip. ARCHER IiE5'l"£RN CONTRACTORS, LTD. CERTIFIED PAYROLL PROJECT PAGE 14 929 W ADAMS S'!'l'U!:l':T 􀁾􀁅􀁅􀁋􀀠ENDING Arapaho ROIl{l Phase III 1/02/05 CHICJlOO. XL '(16';17 JOB N!JHSER. 204059 EMPLOYEE 1ii92U TOTALS ( liOU'ftS '12,00 .00 .00 430.01} EMPLOYES DATh MARTINEZ M NOE 55 N\lM6ER S:nlS9U1 MARITAL STATUS; 1 £XEMJ?TIONS; 5 2323 ORIO!.£ EMPLQY£;E NO.' U1f1l. 􀁏􀁾􀁃􀁁􀁴􀁉􀁖􀀺􀁉􀁌􀁕􀀢􀀠TIt 15116 l>"1'mlIC CODE S CHI>CK NVMll.ltRS; "6l0s? 􀀹􀁮􀁮􀀸􀁃􀁾􀁓􀀷􀀴􀀮􀀶􀀠Sill< HIRE DA.TE 20/28/02 NIT GROSS TAX GROSS F .1.'1'. """" FICJI{RI) FIO..jOASOI) S.D.I 5.U.1. STATE TAX Cln TAX CNIT TAX UNION OSD. MISC. DED. N£TPAY ,00 651.00 36.fM 40,36 9.44 .00 .00 .00 .Olf .00 .00 ,00 564,22 OCCUP. WORK CLASSIFICATION lllR1R'I' lHR 2RT liR J RT .I, HR 4. RT 5 HR 5 RT PAY toot: \lAOlTION EARNINGSDI>'" 4.l.2S TX 118 CA.RPEN'l'ER 12/2?/lOO4: 10.00 12 0000 .00 J.8 0000 .00 24 0000 .00 .oooc , 0000 .00 .CO ),20.00." 'IllS TIt l16 CAAPSNTER 12/26/2004. lO 00 l2 0000 .00 18 0000 ,(10 24.00tHI .0000 .00 • 0000 .M .00 120.00."411b TIt 118 C.IUU?i:.1:lTER J.Z/29/2004. 10 00 l2 0000 .00 18 0000 .00 24. 0000 .DO .0000 .00 .0'000 .00 .00 220.00 U2S TIt 1.l.8 CIlRPENTER U/30/2004 lO 00 lZ.OOOO 2 SO l.S . cooo .00 24.0000 .CO .0000 .00 .0000 .00 .00 14?,00 411S n: 1.l.8 􀁃􀁁􀀮􀁒􀁐􀁾􀁒􀀠l2/3J./2004. ,00 12.0000 a 00 13 0000 .00 24 0000 .00 .0000 .0000 .00 .00 1404..00" EMl'!.O'ii!li.' 69782 TOTALS: 110lJRS 49.50 .00 00 652.00 :£MP!..O'i'EE DATA. CHAVEZ ,""" M. 55 NUl>mER 628C531&5 MARITAL STATUS; 1 EXEMPTIONS; 5 Ull msmIOOS A EMPLOYEE NO.' nsn FOR'! l!fOJII:nr, TIt 16116 i':"mNIC CODE 5 CflECK tfU'MSER!:;: 262044 􀀸􀀱􀀷􀀯􀀧􀁬􀀧􀀳􀀲􀁾􀀲􀀱􀁓􀀷 􀀠SEX MAt..E HIRE DATE Ol/20/03 NI'! GROSS T,AX GROSS F.1.T, FlCA{HI) f'lo.IOASDI) S.D.I S,O.I. $'tAn '1'AX crN TAX CN'tY TAX UNION OED. MISC. OED. NlIT PAY ,00 400.00 2.n 24.06 5.U .•0 .00 .00 .CC ,00 .00 12 00 355.38 OOC'UP. 􀁾􀁉􀁏􀁒􀁋􀀠􀁃􀁌􀁁􀁓􀁓􀁉􀁆􀀺􀁉􀁏􀁬􀁔􀁉􀁏􀁾􀀠Dl>TE U 1 n 2 HR ft HR R'f 4. HR 0\ R'l' 5 HR 5 RT PAY com: VAOlTION Ii:AJl.NINGS HZ6 TX 212 COMMON LABORER 22/:27 /2:00'1 1.\)\)\) 10,0000 .GO 15,OOOD .00 20 0000 .00 .0000 .00 .0000 .00 200 00.""Il26 TX l12 COMMON I.kIlORER 22/2$/2004 10 00 20.\)000 .CO 15.0000 .co 20 MOO .CO .0000 .00 .0000 .00 100.00." "Il26 TX 112 COMMON r..A.SORER 12/29/2004 20.00' 20 0000 .00 25.0000 .0(1 20 MOO .00 .0000 .00 .0000 .00 ,00 200.00 1126 TX 1?2 CC/MtoroK r..ABORER 12/:10/2004 10.00 10.0000 .GO 15.0000 .00 200000 .00 .0000 .00 .0000 .00 .00 100.00 EMPLOYEE 698n TOTALS: 1I0U'ftS 40.00 .CO '100.(10." OEO J\MN'T OJrolUC'nON OE5CRlln'ON 22.00 12SS rl;:?2S.. 2/01/05 11;28;36 :'/02/05 CERT P/R ARCHER WESTERN COlf'!"RACTORS, LTD. CERTIFIED PAYROLL PROJECT PAGE 15 92:9 W ADAMS STREET WEEK ElIDING Arapaho Road Phase III 1/02/05 CHICAGO, II. 60607 JOB NUMBER. 204059 EMPLOYEE DATA LED£SMA lW'JUroO S5 NUMBER S69???OGI MARITAL 􀁓􀁔􀁁􀁾􀁓􀀺􀀠2 EXEMPTIONS: 9l.6 ROLLING MSII.!lOWS DRIVE EMPLOYEE NO.' 94146 BURLESON, TX 7602E E'!ltNIC CODE S CHECK Nt."MSt:RS: 262054 617/H7-SeilS SRX MAJ:..E HIJU: OATE 10/13/03 N/T GROSS TAX GROSS F.I.T, FICA (HIl nO!. WASOI) S.O.I S.U.I. STATE TAX CIn TAX am' TAX l)NlOO DED. MISC. OED. NET PA\' .00 5411.2S 1"1,08 3J..57 7,)8 .00 .00 .00 .00 .00 .00 40.00 45).22 OCCUP. WORX CLASSIFICATION DA'£'£ 1HR lR.T 2HR 2RT 3HR 3RT HR RT HR 5 RT ?hY CODE Vtl,CAT10N E:UNINGS 4153 TX 166 WORMS SSTTER 12/21/2004 10 GO 13.0000 .00 19 5000 .00 .00130 .00 .0000 .00 .0000 .00 .co 130 00 4.153 TX lGG FORMS SETTER 12/26/2004 10 00 13.0000 .00 :.9 5000 .00 ,0000 .00 .0000 .co ,0000 .00 .00 '1)0,00 4153 TX 1 G G 􀁾􀂷􀁏􀁒􀁍􀁓􀀠SETTER 12/29/2004 10 00 11 0000 .00 19 5000 .00 ,0000 .co .0000 .0' .0000 .co .00 1)0 00 41.S3 TX 166 FORMS SETl'ER 12/30/2004 􀀱􀁾􀀠00 13.0000 1.50 􀀱􀁾􀀠5000 .00 .0000 .00 .0000 .00 .0000 .00 Ult 25." EMpLOYEE 941-4(; TOTALS, HOtJ'RS 1.1.50 .00 .00 519.25 OED AMNT "'EDUCTION DE5C1UPTON 10.00 1255 EMPLOYEE DtI,TA ,SCUl'lI:oG,IU,L TElUtY LEE S5 lTVMBER )52506655 MARITAL STA'!'U!h l EXEMPTIONS: PO aox 6"2 EMPLOYEE NO.: S4.203 SCURR\" 't'X 151$5 £1lINIC CODE C CHECK N'!.lM'eltRS, 2620,09 972/4.52-6646 SEX HIRE DATE 11/H/O)"""EnIT GROSS TAX GROSS F ,LT. FICAIHI) FICA (CASOI) S.O,I S.U,I. STATE TAX CIn TAX "NT"( TAX ONION OED. MISC, OED. N£T PAY .00 900.00 77.62 55.06 12.88 .co 00 ..00.... _n 'RU OCCUP. WORK CLASSIFICATION 0''£'£ 1 HR 1 RT RR 2 RT HR 3 RT HR .. 1'1.1' ;; HR 5 RT PAY COO!: VACATION EARN:tHGS 4131 TX 342 CRANE OPERATOR 12/29/2004 10.00 22.5000 .00 )).7500 .00 .0000 .00 .0000 .00 .0000 .c. .10 225 00 4131 TX 342 CRANE OPERATOR 12/29/2004 9.00 22,5000 .00 3::1.7500 .00 .0000 .00 . 0000 .00 .0000 .c • .0' 202 So 413'1 TX 342 CRANE OPEAA'l'OR 12/)0/2004 10.00 􀀲􀁾􀀬􀁓􀁏􀁏􀁏􀀠.00 )3,7500 .00 .0000 .00 .0000 .00 .0000 .00 .00 225 00 U3"1 TX 342 CRANE OPEAA'l'OR 12/3'1/2004 11.00 22.5000 .00 3).7500 .co .0000 .00 .0000 .00 .0000 .00 .00 247 50 EMPLOYEE 94203 TOTALS; HOtJ'RS 4:0.00 .00 .00 900.00 OED »!NT DEDUCTION OESCRIl'TON OtO AI>1NT DEDUCTIOn OESCRlPT(lN 92.31 CHILO SUl?PORT 12,00 125S MCP2S4 2/01/05 11,25:3& 1/02/05 CERT P/R ARCHER WESTEIW COO"rRACTORS, LTD. C E R T I FIE D PAYROtt PROJECT PAGE 16 929 W 􀁁􀁄􀁾􀁓􀀠STREET W&&K ENDING Arapaho Road Phase III 1/02/05 CHICAGO, XL 50607 .JOB NUMBER. 2(l4I;1S!!I E1'tPLOYEE DATA CHAVEZ 59 NUMBER. (:144801225 MMtITAL STATUS, 2 EXEMPTIONS,""".Fe H)) WESTRIDG!& AP'T 11 EMPLOYEE NO.' 94452 I;ORT WORTH, 'l'Z 76116 ETlUUC CODE S CHECK m...'Mmi:RS \ 262043_.U.,/732-21S1 se, HIRE M'n 03/0&/04 flIT GROSS TAX GROSS L1.T. net>.!HI} 1;10\(011.$01) S.D.l 5.U.1. STATE TAX CITY TAX aITY TAX ONION OED. MI.SC. OED. NET PAY ,00 40l).OO .00 ;;:'LOti 00 .00 00 .0000 .00 D.H "'" OCCt/P. WORK ClASSIFICATION n.TE HR "1 R'r HR RT RR NT fiR -4 itT HR 5 RT PAY CODE VACATION E:ARNINGS 4126 'l'Z 172 COMMON LABORER 12/;;:7/2004 ll).OO 10 0000 .00 15.0000 .00 20 0000 .00 .0000 .00 ,0000 .CO lOO.OO."4126 TX 172 COMMON tABORER 12/2&/2004 10 00 10.0000 .00 l5.0000 .00 20 0000 .00 .0000 .00 .0000 .00 .CO 100,00 412(; 'l'Z 172 COMMON t.M\ORER 12/2:9/2004 10 1.10 10.0000 .'1.1 15,0000 .00 20 0000 .00 .0000 .00 .0000 .00 lOO 00."4120 􀁾􀁾􀀠172 COMMON LABORER 12/30/2004 10.00 10 1.11.100 ,00 15'.0000 .00 ::!o,OOOO .CO .01;100 .00 .llOOO .CO .00 100.00 DU>LOYEE 9H52 "TOTALS, JiO{;"RS 41:1.00 .00 .00 400.0(1 ceo 1lHNT DEnUC'l'lON PESCR.IPTON 12.00 12SS £MPL0YEl:. OATA Ci\.STILLO VIC'l'OR SS Nt.lMB8R 547102117 HARITAL STATUS: l EXEMPTIONS: 1315 CALDWELL AVEN"J£ EMPLOYEE NO. !i>47:l6 DALLAS, TX 75223 EnlNIC CODE S CHECK »UM8BRS, 262042_E2H/6:27-nG25 m HIR& 􀁾􀁔􀁅􀀠05/10/IN N/T GROSS TAX \"mOSS 1;.1.'1', fIC'A{Hl) l"ICA(OASDI) S 0.1 S.U.l. STA'!E TAX CITY TAX CNTYTAX UNION OED. >lyse, DED. NET PAY ,00 467.50 IS.BS 28,24 GO •CO .00 .CO " .0000 DO' .",• OCOUP . WORK CLASSII;ICATION DIITE 1 HR 1 !l:T HR 2 RT JiR 3 RT NR itT 5 IlR 5 RT PAY CODE VACATION EA.R.N:rNGS 4126 TX 1"72 COMMON LABORt'R l2/2?/::l:004 10.I;Hl 10 0000 l5 0000 .00 20 0000 .nn .0000 .00 ,0000 .00 .00 100.00." U26 TX 1 n COMMON LAlWRER 12/28/2004 10.00 10 OCCO .00 15 OOOC .00 20 (1)00 .0000 .00 .0000 .00 .00 100,00." H2o TIt H2 COMMON lJ\l!IORER 12/29/2004 12.00 lO 0000 .00 15 OOCO ,1)1) 20.0000 .00 .0000 .00 .0000 .CO .00 l20.00 H26 TX 172 COMMON 1J'I.80REiR 12/30/2004 6.00 10,0000 'SO 15.0000 .00 20.0000 .DO .0000 .00 .0000 .00 .00 117,50 4126 TX 1.7:! C1."»4MON lJ\BOilER 12/31/201)4 .00 10.0000 15.0000 .01) 2000tH, .00 ,0000 .00 .0000 .00 .00 30.00, " £.' EMPLOYCE NO.' 94732 DALLAS. 1')'; 75213 i:'l'UNIC CODE S CliECK NUMUERS' 262061 214/627-8625 SEX MALE H!RE DATE Oa/16/04 N/T GROSS TAX GROSS F.I'1', F1CA.(HI) l"ICAlOASOIl S,O.I S,C,! . STATE TAX CITY TAX om: TAX ONION OED. MISC. OED. NET PAY ,00 561,{!{! 1!,15 34.04 7.96 .00 .co .00 .00 .00 ,co 12.00 498.250 Occop, WORK CLASSIFICATION 0A'11! 1 HR itT' HR .T itT 4 Hit 4 RT Hit 5 RT PAY CODE VACATION EAR.lUNGSH, 4U5 p: )69 LOADER OPERATOR. 12/21/2004 10,00 12.0000 .00 18,0000 .00 .0000 .00 .0000 .00 .0000 00 .00 120.00 U35 TX 􀁬􀁾􀁓􀀧􀀠LOJI.OER OPERATOR 12/21!1n004 10 00 􀀱􀁾􀀬􀀠0000 .00 18.0000 .00 .0000 .00 .0000 .00 .0000 .00 .00 120. 00 4135 4135 TX l69 Wl\.DSl't OPERA'rOR 12/29/2004 1.2 00 U , 0000 .00 :8.0000 .00 .0000 .00 .0000 .00 .0000 .00 .00 144.00 4135 TX Hit LOADER OPERATOR 12/30/2004 a jHi 12 0000 , so 18.0000 .00 ,0000 .00 .0000 .00 .0000 .00 .00 141.00 4115 n; 369 Wl\.DSl't OPERATOR 1:2/31/2004 ,{}O 12 0000 :l.00 18,0000 .00 .0000 .00 ,0000 .00 .0000 .00 .00 3G"00 SM?UW££ 94132 '1"01'AL5: HOURS 44.50 .00 .00 561.00 DED AMNl' DEDUcrION IlESCRIP'l'ON 1:':.00 ;!.25S EMln..on:E OATA TR'&VIZO JR 2)42 I'LOtmlKl: DliLLhS. T''': 214/319-1026 MhCLOVlQ N/T GROSS 15226 TM: sa !'lUMBER 461191126 Ml'LRITAL 􀁓􀁔􀁁􀀧􀁬􀁖􀁓􀁾􀀠2 EXEMPT!ONS, EMl'LOYEE NO.' 94152 ETHNIC CODE M SEX HALE I3ROSS F.I T. CHECK Ntl'Ml'IERS, HIRE DAm nc.A'(Hl) FlCA{OASOI) 262071 09/08/04 S.D.I .C,l, STATE TAX ern' fiX """ TAX t.'I'NION OED. MISC. DEn, NET PAY OCCW. .00 WORK 646.00 CLASSIFlCA.TION 20.60 31,51 DATE 1 '"HR 1 RT .00 HR 2 RT l .00 Hit RT .00 4 HR RT .00 5 HR RT ,00 PAY CODE .00 VACATION 40 00 EAR1UliQS 539.04 U40 4140 4140 4lolO TX PIPE n: PIPE 1'1: PIPE 'nI: PIPE FOR&M1UI FOREMAN FORF.MAN FOREMAN 12/28/2004 12/29/2004 12/30/2004 12/)1/:200< 10.00 10.00 10.00 8.00 17,0000 17.0000 17.0000 11.0000 .00 .00 .00 .00 25.5000 25.5000 25 5000 25.5000 .00 .00 .00 .00 34.0000 34.0000 31.0000 )4.0000 .00 .00 .00 .CC .0000 .0000 .0000 .0000 .00 .00 .00 .00 .0000 ,0000 .0000 .0000 .00 .CC .00 .CO .00 .00 .00 .00 110 00 110 00 110 00 136.00 IJ.'Mp!.OYE£ 94752 TOTALS: HOURS 38,00 .00 .00 646.00 nED AHNT 40.00 DEDUCTION IlE$CRIPTON 125S --•• !>::CP2S4 2/01/0; 11,28,3£ 1/02/05 CSRT p/R MCHER WESTERN CONTRACTORS, LTD. c 􀁾􀀠R T I FIE 0 PAYROLL 1> II: 0 01 E C T PAGE 16 929 \01 MAMS STREET W&EK EN'OING Arapaho RQad Phase III 1/02/05 CHICAGO, IL £060'1 JOB NlM"SER. 204.059 EMPLOYEE DATA PEREZ VMENTIN OOM!NQ S5 NUMBER 2C7lJ9240 MARITAL STATUS, 1 EXEMPTIONS, 2712 BERRYflILL EMPLOYEE NO.' 94153 FORT WORTH, TX '16105 rnll tlfUVE EMPLOYF;£ NO,: 9'1'15>'\ MESQUITE, 'l'X '15149 ETHNiC CODE ; B CHE<"K NtrMflERS, 262041 912/289-£892 SEl< MALE HIRE: DATE 09/09/04 NIT GiRC!SS TAX GROSS Ii' .1.1'. FlCA. (Ill) FICA.{OASOI) 5.0.1 S.U,I. STATE TAX C!n'l'AX on'Y TAX wrON DEO. MZSC. OED. NET PAY OCCOP. .00 520.00 WORK CLASSIFICATION 8.00 􀁾􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀮􀀠29.76 DATE liR 􀀭􀀭􀁾􀀠6.96 1 ItT liR .00 2 RT .00 HRJRT.00 4!Ht RT .00 5 RR .00 11:1 PAY CODE .00 VACATION 109.23 EARN!NGS 366.05 U39 413.9 4139 4139 'l'X 205 PIPEWl.YER TX 205 PIPELAYER TIt 205 P1PELA't't:R 'TIt 205 PIPELAYER 12/21/2004 lZ/U12004 12/29/2004 Uj30/2004 10,00 10 00 10 00 10 00 13.1)000 13.0000 1).0000 H.ODOO .00 .00 .00 .00 19 19 19 19 5000 5000 5000 5000 .00 .00 .00 .00 26.0000 26.0000 26.0000 2(;,0000 .00 .00 .00 .00 .0000 .0000 .0000 .0000 .00 .00 .00 .00 ,0000 .0000 .0000 .0000 .00 .00 .CO .00 .00 00 .00 .00 llO,OO BO.OO 130.00 130.00 EMPLOYEE 94754 TO'l'ALS, ROtlltS 40.00 .00 .OC 520.00 DED,I\MNj' 69.23 OEOUC'TION DESCltIP'TON CHILO SUPPORT oeD A"lNT 01,0.00 D£I)fJC'l'ION OESC1UP'l'ON' 1255 l'lCI!2S4 2/01/05 11:28:716 1/02/05 CERT pIR ARCHER W£S"1"RRN CONTRACTORS, !.1.'O. C E R T ! F ! E D PAYRQ!,L PROJECT PAGE 19 929 W At>7I.MS STREET li'>'SEK £ND!NG Arapaho Road Phase III 1/(12/05 CH!CAGO, IL 6060'1 JOB NUMBER. 204059 EMPLOYEE DATA t:l(,)HlNOOSZ JUAN 55 N'\J'! TOTALS, HOlmS 40.00 .00 .00 540.00 OED 1>.MNT DEOClCTlO« OSSCR!P'OON 40.00 1255 EMPLOYEE DATA OOMIHGU;;:Z. AltM.ANDO 5S m,n.mER GJ4142079 MARITAL S'i'AT'JS: 1 EXEMPTIONS: 2712 BERRY lULL eMPLOYEE NO.' 94760 FORT WORTlI, 't'X 1 1Sl05 El'ltNrC COOS M CHECK NtIMEIERS, 2620'16817/53.5·7929 SEX !".AU;: HIRE DATE 09}1.. /04 N/T GROSS TAJ: GROSS F.! T, F1CA!NI) F1CA(OASOlj $,0.1 S.U.!. STATE TAX CITY TAX Ctrri TAX UNION OED. MISC. £lED. N'£T PAY .00 580.00 42.99 55.22 . 2.; .(Hl .00 .00 .00 ,00 .00 U 00 4al.55 OCCUP. troRK CLl'ISSIFlCATION OA'" lllR1RT2Ul1'.2RT HR RT UR 4 RT .5 HR 5 itT FAY COD? VACATION F.A1tNINGS 4136 4126 4136 4136 TX T.K 'TX 'l'X 3.. 2 B1LClQ{OE OPERATOR 342 BACKHOE OP£MTOR 342 BACKHOE OPERATOR 3.42 BACKHOE OPEM".!'OR 12/21/20(l4 12/26/200.; 12/29/2004 12/30/2004 10.00' 10.00 10 00 10.00 JA,5000 14 5000 14 .SOQQ 14 5000 .00 ,00 ,00 .00 21.750'0 21. 7S00 21,1S00 21',7S00 .00 .00 .00 .00 29 0000' 29 0000 29 0000 29.0000 .00 .CO .00 .CO .0000 ,0000 ,0000 .0000 .GO .CO .GO .00 .0000 .0000 .0000 .0000 .GO."." ." .00 .00 .00 .CO ).45.00 14$,00 145.00 145.00 t:m'LO'i1i:E 94760 TOTALS: HOVRS 40.00 . 00 ... 580. 00 tmD AMNT DEDtlC'flON DESCRlf'TOtI 12.00 125S 􀁍􀁾􀁬􀀿􀀲􀁓􀀴􀀠2/01/05 􀀱􀁬􀁾􀀺􀀻􀁩􀀡􀀮􀁥􀁨􀁊􀀶􀀠1/02/0S e'ERT fiR ARCHER WeSTt!:1U/CONTRACTORS. 1/ro. C E k T ] r lED PAYROt,L PROJECT PAGE 20 929 W ADAM5 STREET WRER 􀁅􀁾􀁄􀀱􀁎􀁇􀀠Arapaho RO;lO Phase III 1/02/05 C:UXCAGO, lL 60'07 JOB NUMBER. 204059 EMPLOYEE OATA MORALES PSIlRO BURGOS 55 NlJMBER S9SUSS90 MJ\R!TlIL STATIJS: 2 EXEMPTIONS: 612 EAST STIt All'T C EMPI,oYEE NO.' !*'<837 DALLAS, '!'X 75203 £'IliNIC CODE M CHECK NUMBERS: 262:060 􀀲􀁬􀀴􀀯􀀹􀀴􀀲􀁾􀁕􀀰􀀳􀀠SEX MALE HUE lY/!\Y .00 520.00 12.00 32.24 7.54 .00 .00 .00 .CO .00 .00 ,00 468.22 OCCUP. WORK CLASSIFICATION OATE lHR 1RT 2Ui< NR RT II. itT 5 Hi: 􀁾􀁔􀀠PAY CODE VACATION EARNINGS.,. 􀀴􀁾􀀳􀀹􀀠TX 205 PIPELt>.¥ER 12/27/2004 10.00 1:\,0000 19.5O'OO ,QO 26,0000 .0 ,0000 .,. ,cooo .., .•0 UO.CO." .a)9 TX 205 PIPELAYER 12/2.9/2004 1(1,00 !l,OOOD .00 19,5000 .00 26.0000 .00 .0000 ,00 ,0000 .CO .00 130 00 41)" TX 205 PIPE:PIPE:t.AYER 12129-/2004 10,00 l:!t.0000 19,5OOO .00 26.0000 .CO .0000 .OC ,0000 .GO .00 120 00." H39 TX 205 l.'Il.'E:t.AYER 12/30/2004 10.00 13.000'0 19,5OOO .00 26.0000 .00 .0000 .00 .ooco .CO .00 130 00 ." EMPLOYEE 􀀹􀀢􀀸􀁾􀀷􀀠TOTALS, il.OURS 40.00 .0. .00 520.00 EMPt.DYEE DATA SANCHEZ-LOPEZ FRANCISCO 5S NUMBEE 2398-13791 MARITAL STATUS \ 2 RXEMPTIONSl 3030 SHAOOW WOOD IJRIVE EMPLOYEE NO. 941JU DALLIlS, TX 7!.224 ETIlNIC COOIl: M CHECK NtRm£}'LOYEE OATA SANOlEZ JOSE GUAOALUPE SS NUMBER U272:452fi: MARITAL 􀁓􀁾􀁗􀁓􀀺􀀠1 EXEMPTIONS; , 3030 SlJAroW WOOD ORIVE EMPLOYEE NO. 94539 DALLAs, 'tX 7$2:.H1 ETHNIC COOE III CHECK NOMsrutS, 252056 9"72/27!)-0279 SEX tl'AtrS HIRE DATE lO/19/01 NIT GROS5 TAX GROSS 1".1.1'. FICA{f!::tl FlCJdOA5Dl) S,D,X S.U. .I. STATE TAX eIn TAX OCCUP, .GO 500.00 WORK CLASSIFICATION 42,02 n,eo DATE 1 HR 7,25 "" .", I!R RT .on HA , RT .00 HA "" .", HR 4139 Us!) 4139 UU '!'X 'tX TI( 'tX 􀀭􀀭􀀭􀁾􀀭􀀭􀀭􀀭􀀮􀀭􀀮􀀠205 PIPE!.AY£lt 205 PlPELA'tE':R 205 PlPE:LAYER 205 l>IPE!.tI.YER 12/21/200'1 12/2a/200 lb2S,36 1/02/05 CERT P/R Sn4 COl1P ARCHER WI;S'l.'!i:RN CONJ'RACT'ORS L'rO CERTIFIED PAYROtL-STATEMENT OF COMPLIANCE "929 W. ADAMS S'1'I'!.i;ET WEEK 􀁅􀁾􀁾􀁉􀁎􀁇􀀻􀀠1/02/05 PitOJEcr, Arapaho Road Phase XXX CHICAGO, ILLINOIS G0607 <1OR NUM13Elh 204059 WE:E:IU,t STATEHEl'>'T OF COMP41n.NC£ 2/01/0$ ,,rMIf/􀁪􀁤􀁱􀁬􀀮􀁴􀁾􀀬􀁒􀀠􀁩􀀾􀁁􀁾􀁒􀁏􀁌􀁌􀀠MANAGE:R. 00 REREBY STATE: 1'It}\,T ! PAY OR SUPER.ViSE: 'IRE !:>A.'iMENT OF 'mE PSltSONS EMPLOYED BY (ARCHER weSTERN CONTRAC'roRS LTD) FOlt WEEK ENDlNGl 1/02/(5) ALL PIJ!JtSONS EMPLOYEO ON S1\.XD !:>ROJEcr :-tAVE: EEN !:>AID 'mE FULL WEEKLY WAGES E.I\.RNl!:O, "11fAT NO REBATES }{AVE BEeN MAnE OR lULL BE M.IIDt:: EI'mER DIRECTt.Y OR !ND!REC7LY 'TO OR ON BEHALF OF SAID (ARCHER 'NES'rER.'1 CON"t'f!.AC'I'ORS LTD) FROM 'mE 1',,"LL WEEKLY WA.GES E.I\.RNl!:D BY J\N't ONE PERSON A.ND 'mAT NO DEDUCTIONS HAVE BEEN M.l\DE EITHER D1R£CTL'l OR If',"DIRECTLY FROM 'lllE FULL WEEKLY WAGES SA:RNED BY MY PERSON, OTIfRR 'I'tWi 'mE PERMISS19LE DEDUCTl:OftS, AS DEFTh'£D iN REGULATIONS, *.. END OF REFORT ....