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Pay Estimate #4, FINAL <br />Sunfish Lake Blvd, San. Sewer Watermain Extension <br /> <br />TOTAL: $149.733.50 <br /> <br />USED TO DATE: <br /> <br />LESS PAY ESTIMATE #1: <br /> <br />LESS PAY ESTIMATE #2: <br /> <br />LESS PAY ESTIMATE #3: <br /> <br />WE RECOMMEND FINAL PAYMENT OF: <br /> <br />Please verily the amount of previous payments, if any, and the receipt of the following items pdor to making payment. <br /> 1. Certificale of claims payment (lien waiver), <br /> <br /> 2. Affidavit of paymenl of States taxes (MN State TAX Form 134), <br /> <br /> 3. Letter of consent from surety firm. <br /> <br />APPROVALS: <br /> <br />CONTRACTOR: W.B. MILLER, INC. <br /> <br />Certilication by Contractor:. I certify that all items and amounts are correct for the work completed to date. <br /> <br /> . o ,e <br /> <br />ENGINEER: Cedilication by Engineer: We recommend payment forwork and quantities as shown. <br /> HAKANSON ANDERSON ASSOCIA,TE~, INC. <br /> <br />Owner: <br /> <br />PE4 - 3 <br /> <br />6727/00 <br />RA 629 <br /> <br />$154.400.98 <br /> <br />$154,400.98 <br />$41,829.31 <br />$78,570.03 <br />$18,457.96 <br />$15,543.68 <br /> <br />lOS <br /> <br /> <br />