CHANGE ORDER

To Job Name/Number
OMOYEMI ADERONKE OGUNSUSI
Attn Job Location
18CB024677
Address Existing Contract Number

City, State, Zip Existing Contract Date

Phone Date: 22/11/2022 Time Extension

We hereby agree to make the following changes:

TOTAL PRICE FOR CHANGES

REVISED CONTRACT TOTAL
REVISED CONTRACT TOTAL

THIS CHANGE ORDER FORM BECOMES PART OF AND IN CONFORMANCE WITH THE EXISTING CO
We hereby agree to make the change(s) specified above at the The prices and specifications of
price indicated per this change order. satisfactory and are hereby acc
performed under established terms
the original contract unless

Authorized Contractor Signature Owner Signa

Date Of Acceptance Date Of Accep

 R
Job Phone

ontract Number

ontract Date

Amount +/-

ICE FOR CHANGES

CONTRACT TOTAL
CONTRACT TOTAL

NCE WITH THE EXISTING CONTRACT.

prices and specifications of this Change Order are
factory and are hereby accepted. All work is to be
ed under established terms and conditions specified in
he original contract unless otherwise specified.

Owner Signature

Date Of Acceptance