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Change Order No. 3 (final)-PCA - Demo of Vacant & Abandoned Houses Phase IX Project No 116-074A - Indiana Earth, Inc.
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Change Order No. 3 (final)-PCA - Demo of Vacant & Abandoned Houses Phase IX Project No 116-074A - Indiana Earth, Inc.
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3/31/2025 1:59:32 PM
Creation date
1/25/2017 9:54:02 AM
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Board of Public Works
Document Type
Projects
Document Date
1/24/2017
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STATE OF WISCONSIN <br />COUNTY OF Racine <br />ON THIS 13th day of December 2016 <br />before me, a notary public, within and for said County and State, personally appeared _ <br />Thomas O. Chambers to me personally known, who being duly sworn, <br />upon oath did say that he is the Attorney -in -Fact of and for the <br />North American Specialty Insurance Company , a corporation <br />of New Hampshire created, organized and existing under and <br />by virtue of the laws of the State of New Hampshire ; that the corporate seal <br />affixed to the foregoing within instrument is the seal of the said Company; that the seal <br />was affixed and the said instrument was executed by authority of its Board of Directors; <br />and the said Thomas O. Chambers did acknowledge that he/she <br />executed the said instrument as the free act and deed of said Company. <br />Jacl a Sheldon <br />Notary Public County, Wisconsin <br />My Commii_'o�pF�tp9gh4 13/2019 <br />`C)k�,ri/ <br />77. <br />N��GO/V <br />
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