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Contractor , <br /> 4 CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: Sheldrup Building Services <br /> ADDRESS: 3552 West Howe Street <br /> CITY: Seattle STATE:WA ZIP: 98199 DATE: February 22,2006 <br /> PROJECT: South Precinct Emergency Operations Center PROJECT NO: NA <br /> DATE WORK COMPLETE:January 12,2006 FINAL AMOUNT$155,792.48 <br /> (including WSST) <br /> CONTRACTOR'S CERTIFICATION <br /> I,the undersigned, having first been duly sworn, certify that the above final amount is a proper charge for work <br /> performed and material furnished to the City of Everett,that the same or any part thereof has not been paid, and <br /> that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from <br /> any employee of the City; I further certify that the above final amount is a true and correct statement showing all <br /> the monies due me f • the City of Everett under this contract;that I have carefully examined said final amount <br /> and understand the •meand that I hereby release the City of Everett from any and all claims of what never <br /> nature which I m:y h.v-, arising out of the performance of said contract,which are not set fo,rttirc-said-fnal--,, <br /> amount. - ®` ttttttt <br /> -' <br /> �. •✓� P • <br /> • P•Q �O p.• y� 9.. <br /> CONTRACTOR TITLE ' •-•• ' <br /> rA • �pTAgY <br /> * : e -__W : * <br /> S�bs��cri[ed a d sworn to before me this a day of • '200U.D. r 1. <br /> _,0412 G� Mtn. , otary Public in and for a State of Washington, ' `PA•°To tr i`v;c ;/�' <br /> (residing at cc LOA-i •.,,j's •• 16, <br /> • � <br /> S 1« _. 2•A•A <br /> PROPERTY MANAGEMENT DEPARTMENT CERTIFICATIO <br /> Certify,the above final amount to be APPROVED Date: =t= t --- <br /> Based <br /> —Based upon actual work performed and <br /> To be true and correct. <br /> _ :— <br /> Project anager, Chris Lark Facilities Director, Carlton Gipson <br /> ADMINISTRATION USE ONLY <br /> Date of Acceptance By <br /> Ray Stephanson <br /> INSTRUCTIONS <br /> The Affidavit of Wa gesPaid must pe prepared by the prime contractor, ail subcontractors, and all subcontractor's <br /> agents and forwarded with the Final Contract Voucher Certification. <br /> Confra_ctor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> attached. <br />