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<br />,/0 <br /> <br />.. <br /> <br />e I hereby certify that all items and amounts shown are correct for the work completed to date. <br />Contractor J~ Bros Inc. <br /> <br />BY~~ <br />(Name andTitle) '\ \{ "\ <br /> <br /><:t:.O <br /> <br />Date <br /> <br />-S - d- -- t:t~ <br /> <br />The work on this project and the application for payment have been reviewed and the amount shown is <br />recommended for payment. <br /> <br /> <br />By <br /> <br />Date <br /> <br />') /;?/1cr <br /> <br />e <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner C.ity of Arden Hills <br /> <br />By <br /> <br />Date <br /> <br />(Name and Title) <br /> <br />e <br />