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09-23-19-R
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09-23-19-R
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10/10/2019 11:37:30 AM
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CHANGE ORDER NO.1 <br />Attachment A <br />N4449 - 469th Street <br />Menomonie, Wisconsin 54751 <br />Phone: 715-235-0316 Fax: 715-235-9006 <br />Grading * Utility Installation <br />Curb and Gutter * Sidewalk <br />Date: <br />9/4/2019 <br />Project Name: <br />Arden Hills, MN - Colleen Ave <br />Job #: <br />19-536 <br />Project Manager: <br />Joe Pember <br />Contact Phone: <br />715-556-0602 <br />Contact Email: <br />jpemberPPemberrompanies.cam <br />Change Requested By: City of Arden Hills <br />DESCRIPTION OF CHANGE ORDER: <br />CB13 (Labor & Materials) $2,800 <br />CHANGE IN CONTRACT AMOUNT: $2,800.00 <br />Pember Companies, Inc. <br />N4449 469th Street <br />Menomonie, WI 54751 <br />Signature <br />City ofPro" ill — At4,i di- (/S <br />re <br />141201 <br />Title <br />/cc 1-1 . 91q /2 o l,q <br />Tille <br />EEO/AA (W/MNets/Disability) Employer <br />Oate <br />
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