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I <br /> PART 2 - ADMINISTRATION USE ONLY <br /> Date of Acceptance By: X I <br /> MAYOR Cassie Franklin 1 <br /> Approved as to Form <br /> X 1 <br /> City Attorney <br /> INSTRUCTIONS I <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all <br /> 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 labeled <br /> indicating a claim attached. <br /> Revised 11-03 111END OF DOCUMENT 00 65 10 <br /> 1 <br /> I <br /> M <br /> I <br /> I <br /> I <br /> I <br /> I <br /> 1 <br /> 10023829 City of Everett Public Works July 2018 <br /> WPCF FEN Chlorination Building Upgrade Work Order 3614 <br /> CERTIFICATE OF COMPLETION FORM <br /> 00 65 10-2 Issue for Bid , <br />