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I <br /> City of Everett 00 6519 - 2 I <br /> 2021 Trickling Filter Media Replacement UP 3742-3 <br /> I <br /> ADMINISTRATION USE ONLY <br /> Date of Acceptance By: X I <br /> Cassie Franklin, Mayor <br /> I <br /> Approved as to Form <br /> X <br /> City Attorney I <br /> INSTRUCTIONS I <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, I <br /> and all subcontractor's agents and forwarded with the Final Contract Voucher Certification. <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be I <br /> labeled indicating a claim attached. <br /> Revised 11-03 I <br /> END OF SECTION 00 6519 I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> 00 6519 - 2 CERTIFICATE OF COMPLETION FORM <br />