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III IIIIIIIIIIIIIIII • <br />ggg ~ COLORADO MINED LAND <br />FIELD DIRECTIVE RECLAMAnON DIVISION <br />1313 Sherman St., RM 215 <br />Darner, CO 802032273 <br />(303) 8663567 <br />Project name ~ G'AST / G "~CG~/~fif /o ~~ 4~ <br />Contractor name <br />hoc Gri ,- G .,~ ~ &d a <br />Coneactor address PO K <br /> Req N <br />Project Manager.?-Oyu ~/~G S~~ <br />/ Field D'neclT+e N <br />Use this form to authorize work <br />changes due to changed conditions within the scope of the Purchase Order Contract. Field <br />directives resulting 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 /> _ / <br />- c./iE.v s ~{/LL DK <br />.~f/.c/.4~ C.OR/TiLOL <br />/~'$K <br />3 <br /> ,~ <br />y <br />~ <br />3 ~ ~ % / TG' f/ G!~/ TiY O c~7 /~ /~/C~ l~ ~7f//fGG <br /> g~ C/O.~ ~/T/c/CTEa ,as si~~ /~/E~ /.u <br /> ~/L 'q'~ /.C/ ~i ~~ ~ G// /TfI '7.5/L iCO~ LO.~id /i <br /> MoD/ f / C.4 T/ O~c./ S <br /> ~A,~ ,~ ~ Yo ~ooT SEcT/c.c/ o/c ~/ rcrr <br /> ErKTEir/D/.vlr f~0.rf T.yf~ D.¢oi° 7'0 <br /> G/ /PEEK /J/ TO T/Y'Lc /Y/6.f~ d?~ic/r <br />° <br /> /E <br />~i~~/ <br />L' E 5 5 /ZO•~/~i (v/L.c ~'f~YVG <br />4'G <br />G <br /> - <br />f <br />/N TiV~ <br />iFVD /S Y.O Fd'~T <br />c <br /> •,cEE G°'/"e ly <br />f. O FOOT ®~ / <br /> T LAW W 7 b r/r. <br />ai D/TC/r 6x'72-uDi.c~G <br /> Cgs ~ 20o j-OOT SEGT/oti .LOgD <br />THL /4C~.C G s S <br /> ~1J/.cJT /~ <br />~,r.O.V Ty.~ ic/ib A' < G'O~>>x acrd b ~S <br />~ <br /> - <br />TA'E ~/¢TG S.Y+~iG~ • <br />' <br /> C <br />TO wd 2 <br />~~ <br /> D</TCrtiL~D r`V ` <br />~-,poT SAC TiO~e/ O~ D/TC F4 <br /> Ca> j,4-f .f/~J[T ,z00 ` .v/GL ,u,.pt/~ Ii S /=ff <br />~6'J <br /> `GOV W / DTH <br />~cv.UN /GL ~/COH <br /> OF 3 -g ~Di TGf/ <br /> /.,`` T/F•G /C/ Nif/.~/yG C E'"CrT.v <br />$"70 L/.~.~.f.z FEET <br />oic <br /> . <br />~Y/ ///L/4P C gPP.c <br />! S/~Ci~~ED /.ci <br />W/TE/0 <br /> SG Co„~gTKUCrED sF 1 <br /> s p.IC.c. <br />•~ <br /> <br />7 dbK+~ ~jC.t~<_.u6~i <br />j-/c/~p t~ ~^'~'¢n'c 'CC~.~PD a9iT.r+ <br />~IZ.~+VE C F/ c T ~ <br />^~ pp~~ <br />~ /O ~ l 1° Tow.v/cD D/ rcA' ~ / 2 ~~ Sv-+•Gc~K cf ~/ ~'/cK <br />NeC change in Contract price <br />$ /v, OO Net change in Contract Gme <br />Q, 00 Days <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approvsd b /, <br />[ <br />P <br />M Date: <br />~"' 3 " ~ ° <br />' <br />. <br />r , <br />roject <br />anager j <br />. <br />opted Date: <br />6 ~ ~ ~~ <br />Contractor <br />Vrigionai-vrolect Manager Copy-Convector 4 <br />