Change Order
John and Jane Doe
123 Main St.
Apt 100
Anywhere, FL 55555
RE: Address
Anywhere, FL 55555
DATE: MM/DD/YYYY
HICKMAN HOMES, INC. IS HEREBY REQUESTED TO COMPLY WITH THE FOLLOWING CHANGES
FROM THE CONTRACT PLANS AND SPECIFICATIONS:
Total Credit Balance Due: $00.00
THIS DOCUMENT WILL BECOME A SUPPLEMENT TO THE CONTRACT AND ALL PROVISIONS WILL APPLY HERETO. DOLLARS ARE DUE AND PAYABLE UPON ACCEPTANCE OF THIS CHANGE ORDER.
HICKMAN HOMES INC. BY MICHAEL HICKMAN, PRESIDENT
5412 Strickland Ave. * Lakeland, FL 33812 * Phone (863) 646-1166 * Fax (863) 647-5627 * www.hickmanhomes.com