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Pay ESTIMATE #3 FINAL <br /> <br /> CITY Of RAMSEY <br /> AZURITE STREET NW <br />UTILITY AND STREET IMPROVEMENTS <br />IMPROVEMENT PROJECT NO. 01-32 <br /> <br />Total Work Complete To-Date: <br /> <br />Less 0% Retainage <br /> <br />Less Pay Estimate 1 <br /> <br />Less Pay Estimate 2 <br /> <br />We Recommend Final Payment of: <br /> <br />$ 317,003.72 <br /> <br />$ <br /> <br />$ 141,016.62 <br /> <br />$ 138,930.82 <br /> <br />$ 37,056.28 <br /> <br />Please verify [he amount of previous payments, if any, and the receipt of the following items prior to making payment. <br /> 1. Certificate of claims payment (lien waiver), <br /> <br /> 2. Affidavit of payment of States taxes (MN State TAX Form 134), <br /> <br /> 3. Letter of consent from surety firm. <br /> <br />cA oP nPt rRaOc tVoAr .'L'SR:i c h a r d/~/u./t s o n, 19 c../~ <br />Certification by C013,t,¢.a/dtor: I c~r, tify/t~a.t~ll items and amounts are correct for the work compled to date. <br /> <br /> Title /y ~ / / Date: Z-/t?-O ¢ <br /> / <br />ENGINEER: Certification by Engineer: We recommend payment for work and quantities as shown. <br /> Hakanson Anderson Associates, Inc. <br /> <br />OWNER: <br /> City of Ramsey,'? . ~ <br /> <br /> Title /~,~P~(///~ ~ Date: '~'~/~//~, ~7/ <br /> <br />Sr~aced doc$1munic~pallaramscWI3164/ra3164bp. XLS <br />Sheel' Pay Esbmale 3 4 <br /> <br /> <br />