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30 October 1995 <br /> AGE-NC Proposal No. 1094 <br /> Page 4 of 4 <br /> AUTHORIZATION STATEMENT <br /> This offer shall be valid for a period of(60) days from the proposal date. Please sign one (1) copy of <br /> this proposal and return along with first payment to Advanced GeoEnvironmental, Inc. Signature of <br /> this document constitutes authorization of the scope of services outlined herein under the terms and <br /> conditions presented in the payment schedule. <br /> The undersigned has read and understood this document. <br /> For: TOP FILLING STATION - UST Removal and Sampling <br /> Proposal No. 1094 <br /> 30 October 1995 <br /> Authorized by <br /> (please print clearly) <br /> (signature) DATE <br /> Title <br /> Company <br /> For: Advanced GeoEnvironmental, Inc. <br /> Proposal No. 1094 <br /> 30 October 1995 <br /> Authorized by <br /> (please print clearly) <br /> (signature) DATE <br /> Title <br /> Company <br /> (see attached TERMS AND CONDITIONS) <br /> - e _ <br />