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DEC, 5,2007. 11.28AM HAKANSON ANDERSON. <br />PAY ESTIMATE #4 (FINAL). <br />City of Ramsey <br />• Ramsey Town Center <br />Phase 2, Sogment Z, Utility and Street Improvements <br />Total Work Complot®d Io Dale <br />INCENTIVE PAY <br />TOTAL PROJECTAMOUNT <br />LESS PAY ESIryMATE #1 <br />LESS PAY ESTIMATE #2 <br />LESS PAY ESTIMATE #3 <br />WE RECOMMEND PAYMENT OF: <br />Please verify the amount of previous payments, and the receipt of the following items prior to making payment <br />1. Certificate of claims payment (lien wa(ver), <br />2 Affidavit of payment of States taxes (MN Stat® TAX Form IC 134), <br />3. teller of consent from surety firm. <br />APPROVALS: <br />CONTRACTOR: HYDROCON, lNC. <br />Certification by Convector: I certify Thal sll items and amounts are correct for the work wmpleted to data. <br />Signed: <br />rue: <br />Date <br />ENGINEER: HAKANSON ANDERSON ASSOCIATES, INC. <br />Certification by Engineer. WQ recommend payment forwork and Quanthias as shown. <br />• Signed: <br />Title: Date <br />owNER: CITY OF itAMSEY <br />Signed: <br />Tula: Date <br />• <br />3:1OFFICE1Municipellgramscy131784SPl:C20074a3178pe <br />PE-3 <br />N0. 1209 P. 4 <br />ovvrat~ <br />S 305.635.19 <br />S 593.88 <br />S 307.229.17 <br />S 77 5sa.60 <br />S 160.321.33_ <br />S 47,649.35 <br />S 21,773.89 <br />-115- <br />