Orange County NC Website
Browse       Search
DocuSign Envelope ID: EFACB3C4-C60B-416B-9CA1-B277DD2458EE <br /> ran of III <br /> 010001 0 Ruuuuuuu;HZ"1% <br /> a allow 0 1:1 1111:HA Oil <br /> � <br /> I II I 00 l III IIIIIIIII <br /> II <br /> PROPOSAL ACCEPTANCE <br /> Service Initial <br /> Phase I Environmental Site Assessment($2,200.00) <br /> Optional Environmental Lien and AUL Search ($250.00 per parcel) <br /> PROPOSAL INFORMATION <br /> ECS Proposal Number 49:7441 <br /> Scope of Work Phase I Environmental Site Assessment <br /> Location 1510 Highway 86 North, Hillsborough, North Carolina <br /> CLIENT INFORMATION <br /> Signature-Authorized <br /> Representative for Entity <br /> Responsible for Payment <br /> Print or Type Name of Client and <br /> Company <br /> Date of Execution <br /> Proposal Addressee- Name Jeffrey E.Thompson <br /> Proposal Addressee- Company Orange County Government <br /> INVOICE INFORMATION <br /> Please Print or Type Below if Invoice Addressee Different Than Proposal Addressee <br /> or Special Invoicing Instructions <br /> Invoice Addressee- Name <br /> Invoice Addressee- Company <br /> Invoice Addressee-Street Address 1 <br /> Invoice Addressee-Street Address 2 <br /> Invoice Addressee- City, State, Zip <br /> Code <br /> Invoice Addressee- Email <br /> Invoice Addressee- Phone Number <br /> Purchase Order Number <br /> Client Project/Account Number <br /> Pay Application Required <br /> 1WIWIWIWIWIWIWJWIWI <br /> r°itl <br /> Page 4 <br /> liut,at4m ,� 1 <br /> ui vl ul ul ui IHHHH ultiCUatil011 <br />