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I hereby certify that ali items and amounts shown <br />are correct for the work completed to date. <br /> <br />Contractor <br /> <br />Dave Perkins Contracting <br /> <br />By <br /> <br />(Name an T~tle) <br /> <br />Date ,///'~ ~ ¢ 7__ <br /> <br />The work on this project and the application for payment have been <br />reviewed and the amount shown is recommended for payment. <br /> <br />Engineer <br /> <br />John Oliver & Associates, Inc. <br /> <br />By <br /> <br />/ (Project Mana~ - <br /> <br />Date <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner <br /> <br />City of Ramsey <br /> <br />By <br /> <br />(Name and Title). <br /> <br />Date <br /> <br />-54- <br /> <br />Page 2 of 3 <br /> <br /> i: <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br /> <br /> <br />