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I hereby certify that all items and amounts shown <br />are correct for the work completed to date. <br /> <br />Contractor <br /> <br />W.B. Miller, Inc. <br /> <br />By. ~,~'~t[l~ <br /> (Name and Title) <br /> <br />Date <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 Managerl~ <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 />-96- <br /> <br />Page 2 of 3 <br /> <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />I, <br /> <br />! <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />