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I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> i <br /> I <br /> I <br /> ! <br />I <br /> I <br /> ! <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> <br />Contractor <br /> <br />I hereby certify that all items and amounts shown <br />are correct for the work completed to date. <br /> <br />Barbarossa & Sons <br /> <br />By <br /> <br />[Name: ahd T(~) <br /> <br />By <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 /> ~/~.~~ Date <br /> ProJ e¢~--M anag e~) '~ - <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner <br /> <br />City of Ramsey <br /> <br />By <br /> <br />Name and Title) <br /> <br />Date <br /> <br />Pa~e 2 o[ 6 <br /> <br />'77 <br /> <br /> <br />