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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 <br /> observing the requirements of the Contract, and that the Contractor should be paid the amount <br /> requested above. <br /> Dated <br /> (ARCHITECT / ENGINEER) SIGNATURE <br /> Accompanying Documentation : <br /> [The Remainder of Page Intentional Left Blankl <br /> dill <br /> r <br /> 4110 <br /> 0201 -00622 - Contractors Application for Payment <br /> 00622 - 3 <br /> FAEngineeringZapital ProjectsM01 -03128-Indian River Dnve Sidewalk-South-Highland Drive SM0201 Indian River Drive South Sidewalk - Contract Docs10201 -00622 - <br /> Contradoes Application for Payment.doc Rev. 05101 <br />