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Schedule "C" <br />Sample Form Chanj4e Order <br />Change Order <br />Date <br />Client <br />Client <br />Software <br />Contact <br />Application <br />Client Email <br />Attachments: ❑ <br />$0.00 <br />Chargeable Hours Rate Amount <br />000 000 <br />Non -Chargeable Hours Total Hours <br />Client Signature Date <br />Your signature serves as an acceptance of the "Amount" lis€ed above as it relates to the description of work contained in this Change Order. <br />Your signature also indicates you have reviewed and agree to the scope of work as detailed in any accompanying enclosures or attachments. <br />This signed document indicates that you have provided all of the accurate infonnation necessary to produce the work as stated in the above <br />Change Order. <br />Customer # Application # Originated by # PO# 0000000 <br />