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Form 9-1366 <br />(April 2015) <br />Name: <br />Address: <br />Telephone: <br />Fax: <br />Email: <br />Name: <br />Address: <br />Telephone: <br />Fax: <br />Email: <br />I 1& 1 41 M F.11 a <br />U.S. Department of the interior <br />U.S. Geological Survey <br />Joint Funding Agreement <br />FOR <br />Water Resource Investigations <br />USES Technical Point of Contact <br />Paull Buszka <br />Supv Hydrologist (GeoChem) <br />5957 Lakeside Blvd, <br />Indianapolis, IN 46278 <br />(317) 600-2779 <br />(317) 290-3313 <br />pmbuszka@usgs.gov <br />USGS Billing Point of Contact <br />Tonja Clark <br />Administrative Officer <br />5957 Lakeside Blvd. <br />Indianapolis, IN 46278 <br />(317) 600-2723 <br />(317) 2910-3313 <br />trclark@usgs.gov <br />U.S. Geological Survey <br />United States <br />Department of Interior <br />Slainatur <br />By GRIFFIN m` ---- Date., Nov 21, 2017 <br />Name: Michael Griffin <br />Title: Director <br />Agreerrl 1SEMNF0000024 <br />Customer#: 6000001348 <br />Project M NFOOGWQ <br />TIN #: 35-6001201 <br />USES DUNS M 949289961 <br />Customer Technical Point of Contact <br />Name: <br />Michelle Smith <br />Director of Water Quality and Waste <br />Water Laboratory <br />Address: <br />830 N Michigan St <br />,South Bend, IN 46602 <br />Telephone: <br />(574) 235-5797 <br />Fax: <br />Email: <br />msmith@southbendin.gov <br />Customer Billing Point of Contact <br />Name: <br />Michelle Smith <br />Director of Water Quality and Waste <br />Water Laboratory <br />Address: <br />830 N Michigan St <br />South Bend, IN 46602 <br />Telephone: <br />(574) 235-5797 <br />Fax: <br />Email: <br />msmith@southbendiiin.gov <br />City of South Bend, Water Works <br />Slanatures <br />APPJU)J�'-CD <br />By <br />"O"d Ael""Vk,- Works <br />Name: <br />Title: <br />F E. 3 U 1 <br />By <br />at <br />Name: <br />Title: <br />By <br />Name; <br />Title: <br />