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Home My WebLink AboutDocumentation_Regular_Tab 05I_09/12/2002 -� ` , � - ' r"`'��`��..'�"�� ,�?"'��;�?r?.��r'�°n,�� • ' TERRACON SERVICES, INC. P.O. Box 2766 JUPITER, FLORIDA 33468 (561) 743-1129 FAX (561) 743-1079 OWNER'S PHONE DATE NAME ' ` � I U � � STREET JOB NAME JOB NUMBER �� CITY STATE STREET l Q � EXISTING CONTRACT NUMBER DATE OF EXISTING CONTRACT CITY STATE You are authorized to perform the following specifically described additional work: . . . _ ............... _..... c,�-�S� . _ �. �. c�J.�.�.. c�-�o�-S�l?.�.. . . . . 1 t ....... .cAs�.nta .. . .. . t�.?.� ... ... �_ ................. ....... ... .... .... .. .. . ..... . , �, '� . x c�?.. .". G�r�.r.�.��,. . �. . . .. . .. .. � C�,. . .. . . . ... . .. .. . . .. .. . . . ta..�� .. . . . � , � . � ' �4.�� ... .... ..� e,rR�-e..... N� i.��,�.�� a. C�...:� . .. _ . . ... i; ;) _.... �� _ ... . ........ .. ......... ... ......._ . ... ... .. . .. . . . _...... ............................ _ ................. ...... _.. .._....._ .. . . ......................... ...._.... , .... .... . .. .. ......... ... ...... ........................... ............................................ _..... . . .. _ ... . ........ .. ....... ............. ........ . . .. .............................. ... _ . ..... . ... .. ... . ....... ......... ..................... ..... ................ . .. .... . . . . _..... . . .............................._........... ..................... _ ............... _.............................................. _ .......... ........................................................._.. _ .......... . ............ . ......... .. .. ........................._................._................... _ _ ....... .... . . ..... . _ ...... ..... ... . . .. ....... .......................... ................................... _. ......... _... . . _ . ......... . .. ....... . .. .................... ._.......... ....... ...... . _..... ..._........... ._ ........... ................... . ... .. .... .. . . . .... . ......... . ..._.... ... .................. .... ... ... ... ....._ ........... ...... .. ................... .......... ....... ._ ... .. ...... ... . ........... ........................ ...... . ............... . ADDITIONAL CHARGE FOR ABOVE WORK IS: $ Payment will be made as foilows: Above additional work to be performed under same conditions as specified in original contract unless otherwise Date _ �"'�7 `� � Authorizing Signature � (OW IGNS RE) We hereby agree to furnish labor and materials - complete in accordance with the above specifications, at above stated price. Authorized Signature �� Date �" � d (CONTRACTOR SIGNS HERE) � � � � � � � ■ ■ � ! � �/e � ��/ � bv � � � Y __ `� --"" NOTE: This Revision becomes parl of, and m conformance with, the existing contract. ' �� ._ ,� � �► �sn�°r°�� r � ��3� ,�"►s ��a��°�� .r-► dv ! r � +� � il` � �v �► ++t..N � r a�r � r r �. � w r �* � � TERRACON SERVICES, INC. P.O. Box 2766 JUPITER, FLORIDA 33468 (561) 743-1129 �AX (561) 743-I079 OWNER'S PHONE NAME DATE v T =� ,�/a�. STREET JOB NAME JOB NUMBER 'f �c�.�� ' �T �:�ea� CITY STATE STREET 1 � � EXISTING CONTRACT NUMBER DATE OF EXISTING CONTRACT CITY STATE �� You are authorized to perform the following specifically described additional work: �� . � � �,� �u c�c ��,��.. �-?,r�Cn.� `��.c-�, . - _...... .... _ .. Sv� ' �� -�,. �b � � tS�.� ��.-�, �,, �. �,�,, -.e.� � . `-� '''�'.` . �-�,- �,. . . i.,�--> i�..Q.... ...:� � . .1.�.. . � . . _.. - .... .. .. ... �^e �,,.�2-.0..� .. .. .�..�.,:�-e �e C-'� �..�.,u. _ ............... .... . �� _ , , c ` ,�.. .. ..�<�c-. �... t�c?�-o�.�.,.�..�,. 12�c� _� _ _ .......... . .. ..... . . .. ... . .... ... . . . . . _........_..._.... _..... ...._. .. _ ... .................................. _.. ADDITIONAL CHARGE FOR ABOVE WORK IS: $ �2Qa,` Payment will be made as follows: Above additional work to be performed under same conditions as specified in original contract unless otherwise stipulated. Date ��l � �a Authorizing Signature i'�� N RE� ! We hereby agree to furnish labor and materials - complete in accordance with the above specifications, at above stafed price.� ... ; ` � - id O Authorized Signature Date �— (CONTRACTOR SIGNS HERE) � � � � � � � ! ■ � � � � ! R � � � • —_. _"_._ _—_�_ _,.,_ NOTE. This Revision becomes part ol, and in conformance wiih, the ezisting eonVact. '