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<br />. <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed to date. <br /> <br />Contractor Forest Lake ::tracting <br /> <br />By /./)~. (L k <br />(Name and Ti) V <br /> <br />Date <br /> <br />I.. 4. -q'l <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 />BRW, INe. <br /> <br />By <br /> <br /> <br />Date <br /> <br />6'/&;11 <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 />