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<br />. <br /> <br />, <br /> <br />I hereby certify that all items and arnounts shown are correct for the work completed to date. <br /> <br />. <br /> <br />Contractor Ja.y Bros.. Inc <br /> <br />By~- <br />(Name and TItle) <br /> <br />.--ctm--------- ..Date-.--J---.:lo-99 <br /> <br />The work on this project and the application for payment have been reviewed and the arnount shown is <br />recommended for payment. <br /> <br />By <br /> <br /> <br />1--... <br /> <br />Date <br /> <br />/-/1- 9 '1 <br /> <br />APPROVED FOR PAYMENT <br /> <br />. <br /> <br />Owner City of Arden Hills <br /> <br />By <br /> <br />Date <br /> <br />(Name and Title) <br /> <br />. <br /> <br /> <br />\ <br />\ <br />