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I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <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 />ame 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 />By <br /> <br />1Z~/~~ ~J hn Oliver & Associates, InC.Date <br />/ (~rojec"t Manage~) <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner <br /> <br />City of Ramsey <br /> <br />By <br /> <br />'Nam & a~r~d~e) - ' <br /> <br />Date <br /> <br />Page 2 of 3 <br /> <br /> <br />