HomeMy WebLinkAbout820357.tiff R. 0. Box.51.2..
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Number 4.
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EXISTING CONTRACT NO. DATE OF EXISTING CONTRACT
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We herebyy agree to make the changes)specified below:
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NOTE: This Change Order becomes part of and In conformance with the existing contract.
WE.AGREE hereby to make the change(s) specified above at this price I. $/9 7,
DATE .y f
f .lid -12_ + PREVIOUS CONTRACT AMOUNT $
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A THOFIZED SIGNATURE A TOR)
�, .'Ceo+,p.0f d �,+,�/ REVISED CONTRACT TOTAL $
ACCEPTED—The above prices and specifications"Of Date of acceptance / fc
this Change Order are satisfactory and are hereby ac- •.
cepted.All work to be performed under same terms and --
conditions as specified in original contract unless other- Signature `` � J' '
wise stipulated. (OWNER)
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