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COLORADO MINED LAND <br />CHANGE ORDER RECLAMAnoN DlvlstoN <br />1313 Sherman St., RM 215 <br />Denver, CO 80203-2273 <br />(303) 866.3567 <br />Project name ~~ lI ~ LJh y C <br />L ~i Date /a ~ 5 <br />Contractor name - Q/mi, 37 <br />Contractor address . I ~~ PO it C, _ ~ ` 7 ~ a <br />CIE. - a R~"Pkv~- -Cll'. ~ <br />Project Manager auM C!.'nc~ e Cnange Ober#/ <br />The following changes are hereby made to the Purchaze Order: (Indude the cost/Ume adjustment for each change) <br />~.+it.~n `c~ ,-, rli,2`c Uit 7 O ~Y-d G1CP <br />OGGQPc 1 LICu 7 ~ ~LI IC ~l~ q SL~~ ! ~P~! .P O P i~ ~LtO <br />Ic' o f .2i~v i~ a oG l `~ <br /> <br />Justification <br />l1~ ~ SrClfvl ~ L!-~ P Qv2 lYIG~ ~2 <br /> <br />- -- <br /> <br />i <br />' ~/ <br />b $l0 1 ~ '1R- ~ ~ Cvl ~7 ~•M(~ <br />t <br />ni :~0 1 ~ , P /15 i ~ P~Qp ryl Uj)G1n <br />Change to purchase order price. <br /> <br />Original Purchase Order Price: /IJJ <br />p a a.CO - GO <br />Current Purchase Order Price adjusted by previous Change Orders: ~ ~ a~ - ~O <br />The Purchase Order Price due to this Change Order will increas /used by: ~ (p 3 S. a> <br />The new Purchase Order Price including this Change Order will be: ~ ~ J~ 3 S o° <br />Change to purchase order time: <br />The Purchase Order time will be increased/decreased by: nG C ~ <br />The date for completion of all work will be: ~ ~n n J~, <br />i" <br />Recommended by: <br />~~ ~/j~ j~ - `/fir ~~QQ.~ ~ ,MLRD Project Manager <br />~'" ~\ <br />Accepted by: ~ <br />> <br />~(zrC ~,.C~t~) h~~~ ~G[!~ S~~(~ <br />Contractor <br />, <br />Approved by: <br /> ~~~ ,MLRD Program Supervisor <br />