2022-09-08_GENERAL DOCUMENTS - M1996053

• Permit No: M1996053
• IBM Index Class Name: General Documents
• Doc Date: 9/8/2022
• Doc Name Note: J and S Farms Project
• Doc Name: IMP Closeout Files
• From: DRMS
• To: DRMS
• Media Type: D
• Archive: No

Change Order#1
Title of Signatory Title of Signatory
Date: Date:
A separate formal amendment to the Contract or Purchase Order corresponding to this Change Order to
follow.
Page 3 of 3