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Contract No:R -39514 INDIANA Date:10/07/2019 <br />Change Order No:003 Department of Transportation Page: 4 <br />�.._ . ro.��,. , .a o <br />»..........................es�pz"Q'�^.i er�l?S" '�ror 6©� <br />APPROVED FOR LOCAL PUBLIC AGENCY <br />(SI N 04-K 0E-. � mi Is xc;owI� <br />NATURE) (TITLE) (DATE) <br />OF <br />(SIGNATURE) (TITLE) (DATE) <br />....,..»...»»............................................ .............»..»......................................... <br />SUBMITTED FOR CONSIDERATION <br />-- ajk--- <br />PETS,... :_ <br />....... I .......... I .......... I . ......... .................. .....I... ............................................... <br />APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION <br />...m...w. . . .. <br />Approval Level Name of Approver Date �� Status <br />