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ay t <br />t- <br />2012S' <br />Cfty of Ramsey <br />Estimate110 <br />TlA iy N T R.: T <br />STORED MATERIALS <br />TOTAL, COMPLETED WORK TO DA'E <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS <br />'ETAINED PERCENTAGE 5%. <br />ET AMOUNT DUE TO CONTRACTOR TO DATE. <br />TAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />PAY CONTRACTOR PER ESTIMATE NO, 3 <br />_.. Certificat <br />ayrnent <br />hereby certify that,, to the best of my knowledge and belief; all itr ts; quantities and prices of work <br />and material shown on the this Estimate are correct and that all work has been performed in -full <br />;accordance with the terms and conditions of the Contract for this project between owner and the <br />undersigned Contractor, and as amended by any authorized changes and the foregoing is a, true and <br />correct statement of the amount for the Final Estimate, the provisions of MrS, 290:92 have been <br />rnplied with and that all claims against me by reason of the contract have been paid or satisfactorialy <br />(cira") <br />4, 0,74 <br />520,017 ,92 <br />526,017,92 <br />526,017,92 <br />497,318 27 <br />28,699,65 <br />lied Blacktop Co `n arly <br />By <br />ct <br />HECK AND APPROVED AS Tc' QUANTITIES AND AMOUNT: <br />ENGINEER:. CITY OF RAMSEY <br />:APPROV <br />OWNE <br />D FOR PAYMN- <br />f Rams y <br />Civil Engineer lI <br />Tale Da <br />