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I hereby certify that all items and amounts shown <br /> are correct for the work completed to date. <br /> <br />Contractor Barbarossa & Sons <br /> <br /> Th, work on this p <br /> ~ viewed and th, <br /> <br />Engine¥/' //~ ~.2 /~Joh~ O~,,ver & Associates, ,,c. <br /> <br />By (Project Manager) <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 />, / <br /> <br />I <br />I <br /> <br />Owner <br /> <br />Date <br /> <br />APPROVED FOR PAYMENT <br /> <br />City of Ramsey <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />By Date <br /> <br />(Name and Title) <br /> <br />Page 2 of 6 <br /> <br /> <br />