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<br />e <br /> <br />e <br /> <br />. <br /> <br />- <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed to date. <br /> <br />Contractor Forest I,ake Contmcting <br /> <br />By rt'IJ. 0 . il r!lLJ V.ce.. 'Pi'~ I:')'-,^- ~ Date I /-T / ere, <br />(Name and Title) <br /> <br />The work on this project and the application for payment have been reviewed and the amount <br />shown is recommended for payment. <br /> <br /> <br /> <br />Date <br /> <br />;W~ <br /> <br />By <br /> <br />gineer) <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner <br /> <br />City of Arden Hills <br /> <br />By <br /> <br />Date <br /> <br />(Name and Title) <br />