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,! <br /> ! <br /> <br />I hereby certify that all items and amounts shown <br />are correct for the work completed to date. <br /> <br />Contractor <br /> <br />Kadlec Services, Inc. <br /> <br />By <br /> <br />[~.~ ~ (~an~e and Title) <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 />~ ~& Associates, Inc. <br /> (Project Manage")~ Date <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner _ City~f~amsey <br /> <br />Date <br /> <br />Page 2 of 3 <br /> <br /> <br />