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CHANGE ORDER III IIIIII1111111111 MNER L°s AND GEOLOGY <br />1313 Sherman $L, RM 215 <br />Denver, CO 80203-2273 <br />(303)866-3567 <br />Projeareme /~ ~~ ate ~ <br />Contractorname Bid # <br />RN -mlrrES-~ <br />Contracloraddnass ~ <br />~ PO# C-~l j <br />~tlJ <br />n,` <br />t~J eq# <br />ProjeetManager Change Order# <br />Thetollovringchangesare erebymademth rchaseOrder:(Indudeth <br />cosVtimeadj <br />ustrnentforeachchange) <br />e <br />/ <br />I' <br />} <br />W j / 7~~r'l <br />/ <br />~I 'V <br /> <br /> <br />JuslificaGOn / <br /> <br /> <br /> <br />~~ <br />Change to purchase order price: <br />Original Purchase Order Price: W ~g I ~ , <br />Current Purchase Order Price adjusted by previous Change Orders: <br />The Purchase Order Price due to this Change Order will be increase decreased y: ~ (~ ~ (~ <br />The new Purchase Order Price including this Change Order will be: <br />f~ 8a~f <br />i Change to purchase order time: <br />The Purchase Order time will b increase ecreased by: ~ / <br />The date for completion of all work will be: ~~ ~ /~~ <br />Reeommendedby: <br />j 3i ,MLRD Project Manager <br />Accepted by: /^~ <br /> <br />,Contractor <br />V ` f <br />Approved by: <br />~~W~. C~M~1/~- a - ~3 ~~ ,MLRD Program Supervisor <br />