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My Commission expires : �� ; Z �' 2 a © <br /> CERTIFICATION OF ENGINEER (WHERE APPLICABLE ): <br /> I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial <br /> Payment ; that to the best of my knowledge and belief it is a true and correct statement of the work <br /> performed and/or material supplied by the Contractor. <br /> r . <br /> Dated <br /> -{ARGHfTE46T / ENGINEER ) SIGNATURE <br /> CERTIFICATION OF ENGINEER / INSPECTOR .• <br /> I have checked the estimate against the Contractor's Schedule of Amounts for Contract <br /> Payments and the notes and reports of my inspections of the project . It is my opinion that <br /> this <br /> statement of work performed and/or materials supplied is accurate , that the Contractor is observing <br /> the requirements of the Contract , and that the Contractor should be paid the amount requested <br /> above . <br /> Dated <br /> -. ARCHIMCT / ENGINEER ) SIGNATURE <br /> Accompanying Documentation : Itemized List of Labor Bid Items <br /> * * END OF SECTION * * <br /> Page 2 of 2 <br /> Y:\Job Folders\Indian River CountylAnnual Contract\Best Car Wash\IRC - 00622Application for Payment Best Car Wash .doc Rev. 07/01 <br />