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Pl~e verify the amount of previous payments, if ar5,, prior to maPdng <br />payment. <br /> <br />i. Certificate of Claims P~yment (Lien Waiver), <br />2. Affidavit for Payment of State Taxes ~iinn. State Tax Form 134), <br />3. Letter of Consent fr~m surety firm. <br /> <br />~A~fRACTOR: <br /> <br />Certification by Contractor: I certify that all items <br />and amounts shown are correct for the work c~lebed to date. <br /> <br /> W.B. MTrlRR, INC. <br /> <br /> Signed: <br /> <br /> Title: <br /> <br />HAKANSON ANDERSON ASSOCIkTES, INC. <br /> <br />Signed: <br /> <br />Title: <br /> <br />CITY OF RAMSEY <br /> <br />Signed: <br /> <br />Title: <br /> <br />Date: <br /> <br />?ile: RA3:15-93 <br /> <br /> <br />