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AGE 2 <br /> <br />t LEASE VERIFY THE AHOUNT OF PREVIOUS PAYMENTS AND THE RECEIPT DY THE CITY OF THE FOLLOWING ITEHS <br /> ROH THE CONTRACTOR PRIOR TO HAKING PAYHENT: <br /> <br /> 1. CERTIFICATE OF CLAIMS PAYHENT ILIEN WAIVER') <br /> 2. AFFIDAVIT FOR PAYMENTS OF STATE TAXES (HINNESOTA STATE TAX FORM 134) <br />m 3. <br /> LETTER OF CONSENT FROM SURETY FIRM. <br /> <br /> REVISED AS PER CHANGE <br /> ORDER <br /> NO. <br /> 1. <br /> REVISED AS PER CHANGE ORDER NO. 2. <br /> REVISED AS PER CHANGE ORDER NO. 3. <br />i~%%REVISED AS PER CHANGE ORDER NO. 4. <br /> <br />I:'PROVALS: <br /> <br />m <br />m <br />m <br />m <br />m <br />m <br />m <br /> <br />CONTRACTOR: <br /> <br />ENGINEER: <br /> <br />CERTIFICATION BY CONTRACTOR: I CERTIFY THAT <br />ALL ITEHS AND AHOUNTS SHOWN ARE CORRECT <br /> <br />FOR THE WORK COHPLETED TXI-.BAE'E~ <br /> <br />JIGNED: ~ .... ~l,W/ll O~ ....... <br />TITLE: ~-'-~~' <br /> <br />DATE~ <br /> <br />NAKANSON ANDERSON ASSOCIATES, INC. <br /> <br />m <br />m <br />m <br /> <br />OWNER: <br /> <br />THE CITY OF RAMSEY <br /> <br />SiGNED: <br /> <br />TITLE~ <br /> <br />DATE: <br /> <br />m <br /> <br />JULY 5, 1983 <br /> <br /> <br />