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Patrick S.Walther,P.E. <br /> March 17,2016 <br /> Page 4 <br /> Accepted for Carter Associates;Inc. <br /> By: <br /> (Signature of Authorized Representative) <br /> (Printed Na1ne of Authorized Representative) <br /> Title: <br /> Date: <br /> Please provide your Accounts Paitable contact information: <br /> Name: <br /> Phone Number: <br /> E-mail Address: <br /> In the space below,please provide any details,including the date invoices are due each month for prompt <br /> payment: <br /> t:\PL\15067N_Carter_US141stSignal\15o67,N 6P\Admin\SA1_US1\propP1W31716 SALdoc <br />