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City of South Bend -Bill Schalliol <br />February 3, 2010 <br />Page 3 of 3 <br />Please sign and return this signature acceptance page (for an Asbestos Building Inspection <br />at the former Schillings Camera Shop located at 329 S. Lafayette Blvd., South Bend, IN, <br />46601 for the amount of $6,075.00) to the WP South Bend Office. <br />Accepted By: <br />Printed name and title: <br />Business name: <br />Billing address: <br />Billing/account manager: <br />Phone No.: <br />Fax No.: <br />E-mail: <br />Date: <br />1:1ProposalslCity of South BendlSchillings Camera ShoplSchillings Camera Shop Asbestos_2-03-10.doc <br />