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<br />'. <br /> <br />e <br /> <br />e <br /> <br />e <br /> <br />I hereby certify that all items aod amounts shown are correct for the work completed to date. <br /> <br />Contractor Forest T .~ke Contracting <br /> <br />B~Ld-t~(;u Cod_s~J fx:oUQq:~MDate IDhJqq, <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 />By <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner <br /> <br />City of Arden Hills <br /> <br />By <br /> <br />(Name and Title) <br /> <br />Date <br /> <br />/C4/9't <br /> <br />Date <br />