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I <br />I <br />I <br />! <br /> <br />! <br /> <br />Please vedfy the amount of previous paymenls, if any, and the receipl of the following items pdor to making payment. 1, Cer~ificale ol claims payment (lien waiver), <br /> 2. Alfidavit oJ payment of Slates laxes (MN Slate TAX Form 134), <br /> 3. Letter of consent from surety lirrn. <br /> <br />CC)~'I~AC~'or~: KUI~HLE UNI)I:RC~ROUND <br /> <br />ENGINEER: HA~NSON ANDERSON AS~IA~S, INC. <br /> Ce~ili~lion by Enginee~ We re~mmend payment ~orwo~ and quan~fies as shown. <br /> <br />-73- <br /> <br /> <br />