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CERTIFICATION OF ENGINEER / INSPECTOR , <br /> I have checked the estimate against the Contractor's Schedule of Amounts for Contract <br /> r 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 �� Z 7 <br /> ` C ITEC N NATURE <br /> I . : <br /> Accompanying Documentation : <br /> k H <br /> IThe Remainder of Pacie Intentional Left Blank] <br /> F3111 <br /> 4., I <br /> h Y <br /> T <br /> p <br /> F <br /> t <br /> f� <br /> 1 ; <br /> 1' <br /> RICO <br /> .a <br /> It!§i <br /> 00622 -3 0219-00822 - Contractoes Application for Payment <br /> F:1EngineeringlCopital Proj"%0219-10tching Station Trallhead10219101ching-Contract DoCSW219-OOSM - Contractors Application /or Payment.doc Rev. 05/01 <br />