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CERTIFICATION OF &R 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 /> Dated i�— 23---15-- <br /> (k eHf+E-CT/ ENGI ER) 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 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 z`� <br /> (ARCHIT CT/ GINEER) SIGN RE <br /> Accompanying Documentation: <br /> * * END OF SECTION <br /> 00622-2 00622-Contractor's Application for Final Payment-Per Marian <br /> CAUsers\ghampton\AppData\LocalUcrosoft\Windows\Temporary Internet Fles\Content.Outlook\LRHJTTRF\00622•Contractors Application for Final Payment-Per Marian.doc Rev. 175 <br /> 05/01 <br />