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F <br />KRONOSa <br />PROJECT CHANGE ORDER FORM <br />Customer Name CITY OF SOUTH BEND Solution ID 6123570 <br />6123570 <br />CITY OF SOUTH BEND <br />6123570 <br />227 WEST JEFFERSON <br />CITY OF SOUTH BEND <br />BLVD <br />227 WEST JEFFERSON BLVD <br />Bill -to <br />SOUTH BEND IN <br />Ship -to <br />SOUTH BEND IN <br />46601 <br />46601 <br />US <br />US <br />Phone <br />574 245-6201 <br />Customer Contact <br />Dan O'Connor <br />Email <br />DOCONNOR@SOUTHBENDIN.GOV <br />Payment Terms <br />Net 30 Days <br />Customer <br />None <br />Purchase Order <br />Kronos Practice <br />Public Sector 20127 <br />Sales Person <br />Jessica DeWitt <br />Project # <br />29776 <br />Operating Unit I <br />KRONOS US OU / USD <br />Currency <br />New Task Required <br />No <br />New Order <br />No <br />Required <br />Project Budget Impact <br />1a I <br />s <br />Solution <br />Consultant <br />9990003-ONL <br />HR <br />Estimate <br />35 <br />160.00 <br />5,600.00 <br />Project <br />Manager <br />9990003-ONL <br />HR <br />Estimate <br />5 <br />160.00 <br />800.00 <br />Totals <br />40.00 <br />6,400.00 <br />Amounts exclude tax <br />Authorization Signature <br />(Ipauthoriz j the change to the Kronos Project Budget, as described above, and I authorize Kronos to invoice for the amount w <br />applicable.) <br />p�. <br />Customer Project Manager � ��"aw , '9" � J . ,,;„„,; <br />