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Owner's Name ////lblo 4W (-,H"%�Pk
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ZSDatExisting Contract Number -38 2-Z!5—
Date
e of Existing Contract a -/ 7 —cZZO /
10080 E. 121st St., #139 Additional Work
Fishers, IN 46037
Main: 317-579-2255 Authorization
Fax: 317-579-2258 IN # cu 10049
Phone 3/7-6 O�3 Date-?- -/ 9 - / `1
JobName11QUD/�.4�1/ Job#
Street -'j7 ZIA 61 i2 50Q r s1 L-_ GT
City State _ I✓�.�
Customer Email 17,AVi 1151, 61 �2bC f(Obes
You are authorized to perform the following specifically described additional work:
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ADDITIONAL CHARGE FOR ABOVE WORK IS:
Payment will be made as follows:
Above additional work to be
Authorizing
Authorizing
We hereby agree to furnj6h labor
Authorized Signature
THIS IS CHANGE ORDER NO.
conditions as specified in original contract unless otherwise stipulated.
(OWNER
(OWNER SIGNS HERE(
Date ,.:,2 — / y—Zol —I
Date
the above specifications, at above stated price.
Date
SIGNS HERE)
NOTE: This Revision becomes part of, and in conformance with, the existing contract.
CORPORATE OFFICES: 720 Highland Road E I Macedonia, OH 44056 1 800-230.8301
GREAT DAY GREATDAYIMPROVEMENTS.COM I PATIOENCLOSURES.COM I STANEKWINDOWS.COM CS 3W eev 2n8