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iii iiiiiiiiiiiii iii <br />999 COLORADO MINED LAND <br />FIELD DIRECTIVE RECLAMAnON DIVISION <br />1313 Sherman St., RM 215 <br />Denver, CO 802032273 <br />(303)86rr3567 <br />Project name ~ _ Date - I lO 3 <br />Contractor name Bldu I -(,[~A~-NfN <br />Contractor address ~ r X PO # ( <br />ja Req# v~ "~-Q~ <br />Project Manager Field Directrve ar S <br />Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Field <br />directives resuking in increased Contract price or Completion time must be approved by a formal Change Order within 14 days. <br />The following changes are authorized at the direction of the PROJECT MANAGER: <br />ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br />3~ Dleek. Por~ct ~Pi~ Dra.ingc~e., Sty-bili~or, <br /> u ~ia,~e erb <br />olt~um~ <br />i ln.e ~.e~ic~a.-Q d,iruinc~ sin <br />e ~ D <br /> n <br />' <br />~ <br />` 1Zt,~ <br />-t1n,~ 17uek= nand fl~} (nay .~ .l~XJVYIA nau~ <br />' <br />~ <br /> C.~k <br />I~ s ~P <br />SCb~ t,~,l~ , ~ I.Ui111~ <br />v~ ~ ~i x Gvn~ -Fi,Uh.~v.~7~ ~P.P~-~ ~fke. ~fu(.e <br /> -, ~DU,e,K- ~ Q i ~ . The Gbn-k~ ~i~ <br /> 8n ~i.l~~, 1, 6 to ~.. fe~f t.c31d.( ~~ Gu>:-e( --~K~Gnol <br /> ~ ao ~- ,r.~.c ~ po,nc~ <br /> <br /> 11c~#u-~Q di-ai ncc~e, tD ~e ..easy ~,~1 uresf ~ ~ <br /> ~ P~ ~ . <br />Net change in Contract price <br />$ Net change in Contract time <br />Days <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by: ~ /1 ~ <br />P <br />M <br />J Date: <br />-- -fl q3 <br />roject <br />anager <br />, <br />, <br />Accepted by: ~Q <br />C Date: <br />V <br />ontractor <br />ungionai~rmteLl ~vragar copy-canRaGmr <br />