Title Page
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Job Name:
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Job Contract:
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Job Contract #
Additional Work Info
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Change Order #
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Customer Name:
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Job Address:
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We Hereby Submit the Following Specifically Described Additional Work:
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Additional Charge for above describe work is: $
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Additional work to be performed under same condition as specified in original contract unless stipulated.
Acceptance of Additional Work
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Respectfully Submitted:
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The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
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Date of Acceptance:
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Signature: