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. I hereby certify that all Rems and amounts shown by this pay estimate are <br />correct for the work completed to date. <br />CONTRACTOR: JAY BROS. INC. <br />BY: <br />TITLE: ~, ~~ <br />/f <br />DATE: (~` ~~'^Q~ <br />Based on the ENGINEER'S on-stte inspections as an experbneed and qualtfbd design <br />professional and on revew of applicaibn for payment and the accompanying data and <br />schedules, the ENGINEER has determined, to the best of his knowledge and belkf, <br />that the quantldes shown by this estimate are totted and that, based on such inspections <br />and review, that the work has progressed to the point indicated (subject to an evaluation <br />of such work as a functioning Project upon SubstaMlal Completion, to the results of any <br />subsequent tests required by the Contrail Documents, and to any qualifications stated in <br />his rernmmendation), and that payment of the amount recommended is due Contractor(s); <br />but by recommending any payment, the ENGINEER will not thereby be deemed to have <br />reviewed the means, methods, sequences, techniques, or proceedures of construction <br />or safety precautions or programs incident thereto or that the ENGINEER has made any <br />examination to ascertain how or for what puryose any Contractor has used the monies <br />paki on account of the Contrail Prk:e, or that title to any of the work, materials, or equipment <br />has passed to the Owner free and clear of any lein, claims, security interests or encumbrances, <br />or that the Contractor(s) have completed their work exactly in accordance with the Contrail <br />Documents. <br />ENGINEER: HOWARD R. GREEN COMPANY <br />BY: ~~ ~ ~~° fT^~~ <br />TITLE: ~~/ ~ FJ -- <br />DATE: ~ /~~ ~~ <br />Approved by Owner/Commission <br />C/TY OF FALCON HEIGHTS <br />BY: <br />TRLE: <br />• DATE: <br />o~worssoseawonveer vy.,wnwry Eaxi <br />PAGES <br />ly <br />DATE: ~ ~ ( r ~' <br />