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BILLING INFORMATION FORM (Client to Complete) <br />PROJECT NAME: <br />Utility Undergrounding Consulting — Sunny Isles Beach — Phase II <br />PROJECT ADDRESS: <br />Street Address <br />city/State2ip <br />LAND OWNER: <br />OWNER ADDRESS: <br />Street Address <br />City/State2p <br />OWNER PHONE NO: <br />OWNER CELL PHONE NO: <br />EMAIL 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 />Name/Title <br />ADDRESS <br />PHONE: <br />FAX: <br />SPECIAL BILLING INSTRUCTIONS: <br />KEITH and SCHNARS, P.A. <br />�: ENGINEERS, PLANNERS, SURVEYORS <br />