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<br />. <br /> <br />e I hereby certify that all items and amounts shown are correct for the work completed to date. <br /> <br />::"""'tlJ'rr"':1 ~ <br /> <br />(Name and Titl <br /> <br />Date It -s-'"'l 'i <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 />By <br /> <br /> <br />Date <br /> <br />I//fA9 <br /> <br />e <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 /> <br />e <br />