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! <br />I <br />! <br />I <br />I <br />i <br /> <br />FINAL PAYMENT <br />August 23, 1984 <br /> <br />Total Schedule 1.000 - <br />Total Schedule 2.000 - <br /> <br /> TOTAL WORK COMPLETED TO DATE - <br /> LESS PREVIOUS PAYMENTS <br /> <br /> WE RDCOMMEND FINAL PAYMENT OF - <br /> <br />$37,284.54 <br />13,151.92 <br /> <br />$50,436.46 <br />39,602.21 <br /> <br />$10,834.25 <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 <br />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 />APPROVALS: <br /> <br />CONTRACTOR: <br /> <br />Certification by Contractor: I certify that all items and amount <br />shown are correct for the work cc~pleted to date. <br /> <br />HARDRIVES, INC. <br /> <br />Signed: <br /> <br />Title: <br /> <br />Date: <br /> <br />ENGINEER: <br /> <br />HAKANSON ANDERSON ASSOCIATES, INC. <br /> <br />Signed: <br /> <br />Title: <br /> <br />Date: <br /> <br />OWNER: <br /> <br />THE CITY OF RAMSEY <br /> <br />Signed: <br />Title: <br /> <br />Date: <br /> <br />File: RA3:15-28 <br /> <br /> <br />