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II I I II I II I II III` III COLORADO DIVISION OF <br />CHANGE ORDER egg MINERALS AND GEOLOGY <br />1313 Sherman St., RM 215 <br />Denver, CO 80203.2273 <br />(303)86Cr3567 <br />Projeaname 1 D) <br />/ a~ / <br />Contractorname . Bid# ,~/~~^', ~~yy~~,,`' 'c~ <br />1Gy '/'~r'uU' <br />Gontractoraddress <br />r PO # <br />- <br />~ ReG# <br />PmjectManager Charge Order# <br />Thelollowingchangesarehere ym em Pur aseOrd :(Indude~co t ea justrnen[forea~change <br />~/i1") ~ <br />a; Q ~, <br />r8 ~ <br /> <br />Justification <br /> <br /> <br /> <br /> <br />Change to purchase order price: <br /> <br />Original Purchase Order Price: QQ 1 <br />Y ~t7~.s~ • UQ <br />Current Purchase Order Price adjusted by previous Ghange Orders: ~ f ~~ 8a~. ~ <br />The Purchase Order Price due to this Change Order will be increased/decreased by: ~ b <br />The new Purchase Order Price including this Change Order will be: .4 /2/ p -~/L ~r <br />j T 0~7 <br />Change to purchase order time: <br />The Purchase Order time will b Increase ecreased by: Q <br />The date for completion of all work will be: M~ ~ I <br />lrecommellaetl by: <br />MLRD Project Manager <br />Cornragor <br />by: <br />ra _ 13 -Grp ,MLRD Program Supervisor <br />