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III I II I II I II IIII III COLORADO MINED LAND <br />CHANGE ORDER RECLAMAnoNDtvlsloN <br />1313 Sherman SL, RM 215 <br />Derwer, CO 80203-2273 <br />(303)866-3567 <br />project name 11 <br />7' Date ( t <br />Contractor name Bid <br />Contractor address ~ ~ <br />' ' PO # <br />n_ j <br />1. <br />I' / /~ o <br />v W O .Z. j~ ~ <br />R~ # 710 <br />- "Q,~ <br />Project Manager /~,~~ <br />l- <br />~ <br />l <br />~ Change Order# <br />The following changes are hereby <br />m <br />e to Purchase Order: (Indude Iha oosVUme adjustment for each dtange) <br />a <br />d <br />36 . bc,~.t,~c,~P Pi S ~ ~ - ~ <br />s + -~e;~ ~ <br />s ~ .~ a o ~ ~ a~a . <br />~ ~- -~f <br />JusfifiraEOn • n . <br />~ 1 <br />l ~ <br />,W, rl,~tU~V <br />/~.-f-~ ~ ~ ,, Q ,,~ y/~~ <br />~-/~ <br />nLU L(/Y(,(~Y vu "~n~ <br />-! IiL1 . <br />' <br />fCiM,Bu~ CU1.~P ~ b~CGd'i ~.F/1'L~1 t~ 7Y~1-c <br />' 71n.( fucr ~ piulc ~ t, <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: ~ /OS-, (o~ <br />Current Purchase Order Price adjusted by previous Change Orders: d <br />`D~J q~ <br />The Purchase Order Price due to this Change Order will be increased/decreased by: dd <br />Y <br />The new Purchase Order Price including this Change Orcler will be: ~ / ~ ~/ 7 <br />7 <br />Change to purchase order time: <br />The Purchase Order time will be increased/decreased by: ~ a/ <br />The date for completion of all work will be: <br />d~ec~ml~ 9,1993 <br />Recommend by: <br />,MLRD Project Manager <br />Accepted by: <br />' ~~ ,Contractor <br />Approved by: _ j <br />,MLRD Program Supervisor <br />2 <br />