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H. M. KERN CORPORATION <br />160 THATCHER ROAD <br />PO BOX 19424 <br />GREENSBORO, NC 27419 <br />(336) 668-3213 <br />FAX: (336) 668-2142 <br />PROPOSED CHANGE ORDER <br />PCO-15 <br />TO: CORLEY REDFOOT ZACK DATE: JUNE 2, 2011 <br />222 CLOISTER COURT <br />CHAPEL HILL, N.C. 2514 CC: KURT HICKS <br />ATTENTION: HARRY JENSEN, JR. <br />REFERENCE: ORANGE COUNTY HEALTH DEPT RENOVATIONS <br />JOB #759 <br />SUBJECT: REMOVE ADDITIONAL CONCRETE <br />IN ACCORDANCE WITH OUR CONTRACT WE REQUEST A CHANGE ORDER IN <br />THE AMOUNT OF ONE THOUSAND TWO HUNDRED AND EIGHTY FOUR <br />($1,284.00) DOLLARS FOR THE FOLLOWING: <br />REMOVE AND REPLACE CONCRETE IN ROOM lOSA TO ALLOW PLUMBING <br />WASTE LINE TO BE ROUTED OUT THE FRONT OF THE BUILDING. <br />PLEASE CALL IF YOU HAVE ANY QUESTIONS. <br />TOTAL COST: $ 908.00 <br />TIME IlVIPACT: DAYS <br />ORIGINATED BY: <br />H.M. KERN ORPORATION <br />SIGNED: ~ ~Y a <br />BY: PETER UPC CH <br />DATE: JUNE 2, 2011 <br />ACKNOWLEDGED BY: <br />CORLEY REDFOOT ZACK <br />SIGNED: <br />BY: HARRY JENSEN, JR <br />DATE: <br />