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BILLING INFORMATION FORM (Client to Complete) <br />PROJECT NAME: Utility Undergrounding Consulting — Sunny Isles Beach — Phase II <br />PROJECT ADDRESS: <br />Street Address <br />Gty/StatelLia <br />LAND OWNER: <br />OWNER ADDRESS: <br />Street Address <br />City/State,Zio <br />OWNER PHONE NO: ( ) <br />OWNER CELL PHONE NO: ( ) <br />E -MAIL ADDRESS: <br />JOB SITE SUPERINTENDENT: <br />JOB SITE PHONE: ( ) <br />SUBDIVISION NAME: <br />PURCHASE ORDER <br />MAIL INVOICE TO: <br />Company Name <br />ATTENTION: <br />ADDRESS <br />PHONE: <br />PAX: <br />SPECIAL BILLING INSTRUCTIONS: <br />s <br />-jhk%M3 KEITH and SCHNARS, P.A. <br />ENGINEERS, PLANNERS, SURVEYORS <br />v <br />