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TOTAL SC~tl/ILE A: <br />TOTAL SChedULE B: <br />TOTAL S~EEULE C: <br /> <br />TOTAL SCHEEU!~ A, B AND C: <br /> LESS PAY ES~ NO. 1: <br /> LESS PAY ESTIMATE NO. 2: <br /> T ~-qS PAY ESTIMAS~ NO. 3: <br /> LESS PAY ESTIMATE NO. 4: <br /> LESS PAY ESTIMATE NO. 5: <br /> TR. qS PAY ESTIMATE NO. 6: <br /> LESS PAY ESTIMATE NO. 7: <br /> LESS PAY ESTIMATE NO. 8: <br /> LESS PAY ESTIMATE NO. 9: <br /> <br />FINAL PAYMENT OF: <br /> <br />Please verify the amount of previous payments, if any, and the receipt <br />by the City of the following items from the contractor prior to making payment. <br /> <br />1. Certificate of Claims Payment (Lien Waiver), <br />2. Affidavit for Payment of State Taxes (Minn. State Tax Form 134), <br />3. Letter of Consent from surety firm. <br /> <br />File: <br /> <br /> Certification by Contractor: I certify that all items and amounts <br /> shown are correct for the work completed to date. <br /> <br /> S.J. LOUIS CONSTRUCTION <br /> <br /> Signed: <br /> <br /> Title: <br /> <br /> Date: <br /> <br /> HAKANSON ANDERSON ASSOCIATES, INC. <br /> <br /> Signed: <br /> <br /> Title: <br /> <br /> THE CITY OF RAMSEY <br /> <br /> signed: <br /> <br /> Title: <br /> <br />RA6:15-9 <br /> <br />$608,808.15 <br />$450,551.00 <br /> $21,881.00 <br /> <br />$1,081,240.15 <br />$57,109.25 <br />$368,838.45 <br />$218,839.15 <br />$78,980.15 <br />$24,870.05 <br />$33,750.65 <br />$115,140.00 <br />$114,736.25 <br />$10,318.09 <br /> <br />$58,658.11 <br /> <br /> <br />