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HomeMy WebLinkAboutSenior Center/Cng Ord-Roof r---- ~ ~ IE} t:c~- q "-.<- ¡ ll"", ' ~9;¡u.:D CHANGE ORDER FORM JUN 0 1 2005 Change Order # -_J_--- COlldviUNIT'f [I-' ,-, '~OPMENT -'--- -, Project # J~o~- Project Name J:l:tVM-J2sJ:'-fu:l~t::ef2~¿YJ~L(ÙV¡ ttA 4Iîn~~ Contractor Name lJ~l~~-UJJ~~~ Ú')~~~ Address ~;;,;;~ fi~-~ XXXXXXXXXXXXXX XXX)( XXX)( x XXXXX XXXXXXX x XXX)( XXXXXXX CHANGES IN PROJECT CHANGE TO CONTRACT AMOUNT Description: Addition Deduction o...u.vw~ ~"'A c.t\,~ $ $ ")) 00 0 Vv-.. bt~ bù& I /Y1Ot ~ Subtotal $----------- $_5J~~<:?9__- UNJv.XtJ.{Ii'1A.. ~o-:¡ I~#. Quantity , i3 ¡'~~4 5S -Çt-. ill (ß, bJJ;¡.. CHANGE TO CONTRACT AMOUNT Addition Deduction $ $ 101..1 3:tta C1I, 5& UNIT PRICES Item Unit Price ~tA.bJ,~ ~()iT'5/~~' , ~' ",'~ nro,¡;~íOn~ I neibO¡"~' c" ¡.., >1"" ~ have beic:n made !,fJ ~".,y (\13 liability which win accrue w"ic:iø! this contract -_~~~tta ~otal C.~ to Contract Amount City Comptroller S~d-- ~~tu~~--~/~~ -~-------- -----------------------------------------------------~~~ Approval b~R 011 9 De~SOIUtiOnS' Inc, Date .J:Adi ~ ~ 14 ~~._~ .s Approval , O'w:;~ V- Date ~ /~ #5 ~: ". ì. . ~ APPROVED wit Ie I XiO ~ Subtotal -$----------$-l~LiQL~~- 1$ 1!(p¡Il/d.ai]