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Contract No:R -38065 INDIANA Date:04/18/2023 <br />Change Order No:001 Department of Transportation Page: 4 <br />**************************************************************************************************************************** <br />APPROVED FOR LOCAL PUBLIC AGENCY <br />______________________________________________________________________________ <br />(SIGNATURE)(TITLE)(DATE) <br />______________________________________________________________________________ <br />(SIGNATURE)(TITLE)(DATE) <br />**************************************************************************************************************************** <br />SUBMITTED FOR CONSIDERATION <br />PE/S _________________________ <br />**************************************************************************************************************************** <br />APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION <br />Approval Level Name of Approver Date Status <br />May 9, 2023