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<br />. <br /> <br />. <br /> <br />. <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed to date. <br /> <br />Contractor <br /> <br /> <br />, <br /> <br />By <br /> <br />(Name and Title <br /> <br />Date-J ~. ~.ql <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 Aroen Hills <br /> <br />By <br /> <br />(Name and Title) <br /> <br />Date <br /> <br />/(;2. /7/91 <br /> <br />\ <br /> <br />Date <br />