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I hereby certify that ail items and amounts shown <br />are correct for the work completed to date. <br /> <br />Contractor <br /> <br />H & M Asphalt <br /> <br />By <br /> <br />(Name and Title) <br /> <br />By <br /> <br />__/ <br /> <br />'~ Th~ work on this pr~ct and the application for payment have been <br /> I /~/evlewe~d t~mo~lt~hown is recommended for payment. __ <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner City of Ramsey <br /> <br />Date <br /> <br />Page 2 o[ 5 <br /> <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 /> <br />