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ENGINEER <br />PAY ESTIMATE N0.13 (FINAL) <br />SUNWOOD DRIVE N.W. AND RHINESTONE STREET NW <br /> 54.551.488.27 <br />1i'ork Completed To-Date 5375.198.93 <br /> SG09,993.05 <br />ss Pay Estimate No. 1 <br />Less Pay Estimate No. 2 S57G,9G4.93 <br />Less Pay Estimate No. 3 5526,319.93 <br />Less pay Estimate No. 4 5194.849.03 <br />Less Pay Estimate No. 5 5870,532.37 <br />Las Pay Estimate No. 6 566,517.52 <br />Less Pay Estimate No. 7 5743,807.01 <br />-r <br />Less Pay Estimate No. 8 S52,SG7.92 <br />Less Pay Estimate Na. 9 5150,08295 <br />Las Pay Estimate No. 10 5]5,389.45 <br /> <br />Less Pay Estimate Na. 11 5285,017.67 <br /> <br />Less pay Estimate No. 12 583.947.48 <br />We recommend Final Payment ofi <br />nd the receipt of the following items prior to making payment <br />Please verify the amount of previous payments, a <br />I. Certificate of claims payment (lien waiver), <br />taxes (IvW State TAX Form IC 134), <br />2. Affidavit of payment of States <br />3. Letter of consent from surety firm. <br />APPROVALS: <br />CONTRACTOR: GLENN REHBEIN EXCAVATING, INC. <br />d amounts are correct for the work competed to date. <br />Certification by Contractor: I certify that all items an <br />Sinned: <br />Date: <br />Title <br />ENGINEER: HAICANSON ANDERSON ASSOCImen for work and quantities as shown. <br />Certification by Engineer: We recommend pay <br />Si ned: <br />Date: <br />Title <br />OWNER: CITY OF RAMSEY <br />Si ned: <br />Date: <br />Title <br />PE-13 <br />G:ISharedDoeslMunicipaVARamseyl <br />31711ra3171PePAY ESTIMATE N0. 13 <br />-110- <br />