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C ontr act or <br /> CITY OF EVERET T <br /> , <br /> • <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> cg\nucT9R: W.esterriVentures Construction,Inc. <br /> ?\DbRESS 0koxttP' <br /> OITY:KMoutiflatce-Teirece 'STATE:OM ZIP 98O4 DATE 3/7/20-11 <br /> PROJECT f Oily Of Everett key BanklBank of Er&att Bldg Shell Improvements PROJECT NO:2007 056• • <br /> DAte WORK COMPLETEt 311/2011 FINAL AMOUNT Si,095, 18,110(Including WS8T) <br /> 'OONTRACTOR'S CERTIFICATION <br /> 1,the undersFned,having fir4i3e0rf dtlly.sWOT01 certify 01:ift0 0bOv0 I ariPupt is a KOK'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 thave not rented or pureilased any equipment or materiels from <br /> ay employee:of the City; I further certify th-afthe.above.firial amount is a WO atid:eorrect statement showing all <br /> .0101nOrilet dtien)e froM the City of Everett under this contract that I have carefUlTy-Oarniftd said final amount <br /> and understandlhe sane and that I hereby release the City of gverelt from any and all 0.1ein1sbIV/h4fssjever <br /> nature Which I may have,arising out of the performance of said contract,which are not set forth In said final <br /> amou I. <br /> $ - LSAClikk <br /> CONTRACTOR TITLE <br /> • ibov,71110 <br /> S . c ibed : d sworn to before me this day of ft\lt..)A 294.L. <br /> fat; Notary Public in and for the 8tate of Washington, <br /> residing AA, La, <br /> Cf) IN")W.;01 45. <br /> • <br /> • lk , <br /> %ore (**v•-- <br /> PROPERTY MANAGEMENT DEPARTMENT CERTIFICATION <br /> • <br /> I Certify the above final amount to be APPROVED Date: / (it <br /> Based upon actual work perforrhect and <br /> To be true and oOrrect. <br /> lAraft <br /> A <br /> 41Z 40.76 <br /> Project ager, Chrts Lark FaCilities Director, Car on Gip$6n • • <br /> APIVIINISTRATION USE ONLY - <br /> Pate of Acceptance By; <br /> • • • Mayor, Ray Stepiminsori <br /> INSTRUCTIONS <br /> • The Affidavit Of Wages Paid must be prepared by the prime'cO)jtraCtor,all subcontraotOrsi and.all inbcoritractor's <br /> agents and forwarded with the Final Contract Voucher Certification. <br /> Contractors Clalnis, y..Mat be'iridlOded alid-the Contractor's Certifidation must be labeled indicating claim <br /> 01109hed, . <br /> 11 <br />