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PROPOSAL ACCEPTANCE SHEET <br />Description of Services:Water Works 2020 Semiannual Groundwater Sampling <br />Project Name/Client Name: City of South Bend <br />Project Location: Various locations, South Bend, IN <br />Proposal No. and Date: Proposal # 2-3402-20,March 13, 2020 <br />Your signature or an authorized representative's signature on this form will provide authorization for <br />EnviroSolutions, Incorporated (EnviroSolutions) toproceed and constitutes acknowledgment of the scope of <br />work and time and materials costs of$14,790.00.Please indicate this choice in the “special instructions” <br />blanks below. <br />Authorized <br />Representative__________________________________________________________________ <br />Signature_______________________________________________________________________________ <br />FOR PAYMENT OFCHARGES: <br />Charge Invoice to the Account of: <br />Firm__________________________________________________________________________________ <br />StreetAddress___________________________________________________________________________ <br />ZipCode_______________________________________________________________________________ <br />Attention____________________________Telephone__________________________________________ <br />FOR APPROVAL OF CHARGES: <br />Send Invoice To: <br />Firm _____________________________________________________________________________ <br />Street Address____________________________________________Zip Code_______________________ <br />Attention____________________________Telephone_________________________________________ <br />If invoice is to be mailed for approval to someone other than the account charged, please indicate in the <br />space above. Invoices for completed work will be issued every four weeks for continuous or extended <br />projects unless otherwise agreed. <br />SPECIAL <br />INSTRUCTIONS________________________________________________________________________ <br />______________________________________________________________________________________ <br />______________________________________________________________________________________ <br />______________________________________________________________________________________ <br />______________________________________________________________________________________ <br />____________________________________________________________________ <br /> <br />