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Summary of Base Proposal I ' <br /> <br />Schedule 1.000' $15,898.75 <br />Schedule 2.000 ~ {},2';C,O~ <br /> <br /> TOTAL BASE PROPOSAL I $26,92~.75 .~7~ }(~.7S <br /> <br />Please verify the amount of previous payments, if any, and the receipt by the City of <br />the followim9 items fromthe c~ntractor prior to makfn9 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 f~o~ surety firm. <br /> <br />~P~V~S: <br /> <br />Contractor: <br /> <br />Certifcation by Contractor: <br /> <br />I certify that all items and amounts <br />shown are correct for the work completed <br />to date. <br /> <br />NORTH STAR DRILLING, INC. <br /> <br />Title: . ~) ,-~ ~,~ ~9,1.~ i~. . . <br /> <br /> ted: ,. <br /> <br />Engineer: <br /> <br />HAKANSON ANDERSON ASSOCIATES, INC. <br /> <br />Title~ <br /> <br /> /- <br /> <br />Owner: <br /> <br />CITY OF RAMSEY <br /> <br />Title: <br />Da ted: <br /> <br />File: RA7: ~2-1B <br /> <br /> <br />