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enewal .:.. <br /> byAndersen... <br /> WINDOW WEPLACEIVIENT an Andersen Company <br /> Change Order Form <br /> Customer Name: Glenda Hendricks —Rep: Jason Britton <br /> Original Contract Date: 8/1/19 Change Order Date: 8/1/19 <br /> Change in Scope of Work: Add Unit Subtract Unit Change Unit Change All Units (circle one) <br /> Unit#: 104 ubtract/Change: Armor ScreenIf added,fill below: <br /> New# Room rypc �W H Ratio Int Ext 'Glz Temp— <br /> HW hocks Screen <br /> Unit#: Add/Subtract/Change: If added,fill below: <br /> New#—Room---Type—W—H— Ratio— Int—Ext­G1z Temp HW Locks Screen <br /> Unit#: Add/Subtract/Change: If added,fill below: <br /> New#—Room Type_W_H_ Ratio_ Int_Ext Glz Temp HW_Locks_Screen <br /> Change applied to all units: <br /> Original Contract Total:$ 10830 New Contract Total: $ 12430 <br /> Increase OR Decrease(circle one)due to Change Order: $ 1600 <br /> Method of Original Paymen CC Auth Cash Check Financing (circle one) <br /> Method of Payment/Refund for Change: CC Auth Cash Check Financing (circle one) <br /> If added to original CC Auth/Financing,additional total is: L aid up frontJ Paid upon completion (circle one) <br /> I hereby authorize Renewal by Andersen to make these changes to my project as stated above. <br /> H/O Signature: Date: 8/1/19 <br /> 000 <br /> RBA Signal e4l Date:1 8/1/19 <br />