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<br /> I hereby certify that all items and amounts shown are correct for the work completed to date. <br /> Contractor T. A. Schifsky . <br /> By Date <br /> (Name and Title) <br /> The work on this project and the application for payment have been reviewed and the amount shown is <br /> recommended for payment. <br /> BRW, INC. <br /> By Date ~ /I/f? <br /> APPROVED FOR PAYMENT . <br /> O"TI" C~il1' Date /./ d ? Y <br /> By ~ C~ 4L~I1?L <br /> /' (Nam Title) <br /> . <br />