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<br />... <br /> <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 />::ntrf1:a~tt~ <br /> <br />. <br />(Name and Title) <br /> <br />51JA- <br /> <br />Date ~ - 2 1./ -oc) <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 />Date <br /> <br />5/.;23,,00 <br />