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CHANGE ORDER REQUEST
MILES ENTERPRISES, INC.
880 NW 153R1D ST.
Miami, FL 33169
Phone: 305-769-3667, Fax: 305-769-2447
CHANGE ORDER SUBMITTED TO:
JAMES A. C'UMMINGS
PHONE: 305-361-9227
FAX: 31?5-361-5647
DATE: 02/05/02
Revised:
ADDRESS: 88 idEST rteiNcnac--_ Errizser
KEY BISCAYNE, FL 33149
JOB NAME- VILLAGE OF KEY BISCAYNE
POLICE STATION
ATTN: FRANK SEDMACK
JOB LOCATION: KEY BISCAYNE
Your autitorizalion is being requested to accommodate the falaowbrg changes:
20 pieces of Travertine marble at S7.50 a piece $150.00
Bid quote for White Carew Marble 20 process at S2.O0 a peace S(40.00)
Subtotal S110.00
Profit & Overhead at 15% $16.50
Additional amount required for this change order $ 126.50
TOTAL $126.50
We Propose hereby to furnish material and labor, complete in accordance with above specification, for the sum of: One Hundred Twenty -
Six Dollars and Fifty Cents (SI26.50). Payment to be made as follows: (Requisition in by the 25t1i of the math. Payment to be made
by the 15th of tke foRa vii g month)
All material is guaranteed to be as specified. All work to be completed in a substantial
submitted per standard practices. Any alteration or deviation for the above specifications
written orders, and will become and extra charge above the estimate.
Authorized Signature Rae1 Miles
workmanlike manner according to specifications
involving extra cost will be executed only upon
Date:
Acceptance of Change Order - The above prices, specifications and conditions are satisfactory and are hereby accept. You are authorized
to do the work as specified. Payment will be made as outlined above:
Signature Date of Acceptance: