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CITY OF EVERETT Y <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: American Process Group ADDRESS: #207 95 McLeod Ave. <br /> CITY: Spruce Grove PROVINCE: AB, Canada T7X2Z6 DATE: September 25, 2008 <br /> PROJECT TITLE: 2008 Biosolids Removal WORK ORDER NO. UP 2600-4 <br /> DATE WORK COMPLETE: July 19, 2008 FINAL AMOUNT: $ 715,197.90 <br /> CONTRACTOR'S CERTIFICATION <br /> I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed <br /> and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am <br /> authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any <br /> employee of the City; I further certify that the attached final estimate is a true and correct statement showing all the <br /> monies due me from the City of Everett under this contract; that I have carefully examined said final estimate and <br /> .understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature <br /> which I may have, arising out of the performance of said contract, which are not set forth in said estimate. <br /> X X VI(/. 12e ,00-1-- <br /> CONTRACT OR TITLE <br /> American Process Group <br /> Subscribed . 11 swor t. .efore <br /> me this . say oft' rd o4'� <br /> X Notary Public /� <br /> in an r v- : Cc- - , residing at olvlon fD41 A`( C dcp <br /> ProA( �J ,• (a„ad� <br /> TYLERM.PEROZNI.. <br /> Barrister&Solicii6r <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final APPROVED Date: I 2---/-9-0 <br /> estimate to be based upon actual <br /> measurements and to be true and correct. <br /> X X <br /> Construction Manager Utilities Director <br /> Tom Fuchs Tom Thetford <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's <br /> 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 labeled indicating a claim <br /> attached. <br /> Revised 9/94 <br /> 6 <br />