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4 <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: Totem Electric of Tacoma, Inc. ADDRESS: PO Box 1093 <br /> CITY: Tacoma STATE: WA 98401 DATE: June 27, 2011 <br /> PROJECT TITLE: 112th Street Safety Improvement Project WORK ORDER NO. PW 3382 <br /> DATE WORK COMPLETE: June 24, 2011 FINAL AMOUNT: $ 50,666.00 <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 ICIers ``tom t t►►►►►f. <br /> C �R TITLE ,% P� A ST ,, <br /> Totem Electric of Tacoma, Inc. �� p•'N�\SW04/ y;, <br /> Subscribed and sworn to before - --a pV '7 r m u'_ <br /> me this a8 day of ZONAE e�/C � <br /> X Not Public �s. • <br /> ' Q,c; <br />