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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 <br /> <br />Kadlec Excavating <br /> <br />By <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 />& Associates, Inc. <br /> <br />Date <br /> <br />'APPROVED FOR PAYMENT <br /> <br />Owner <br /> <br />City of Ramsey <br /> <br />By <br /> <br />Date <br /> <br />Page 2 oi' 5 <br /> <br />5o? <br /> <br /> <br />