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Certificate For Partial Payments <br /> <br /> I hereby certify that the goods or materials covered by this claim ' <br />nave been performed, are in accordance with specifications, and are in proper <br />form, kind, and quality. <br /> <br />Dated <br /> <br />oject EnDineer / Supervisor <br /> <br />?his is to certify that, to the best of my knowledge, information and belief, <br />:he quantities and values of work certified herein is a fair estimate for the <br />)eriod covered by this voucher and payment therefore is hereby recommended. <br /> <br />~pproved Date <br /> <br />Department Authorized'Signature <br /> <br />I <br />'! <br />I <br />I <br /> <br />! <br />I <br />I <br />I <br />i <br />I <br /> <br />tract Number Z00516 <br />zher Number 5 <br /> <br />-210- <br /> <br />S.P. Number 199-010-03 <br /> <br />Period Ending 27 October 2000 <br /> <br /> <br />