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• . COLORADO DIVISION OF <br />CHANGE ORDER MINERALS AND GEOLOGY <br />1313 Sherman S[, RM 215 <br />Denver. CO 602032273 <br />i (303)866-3567 <br />Project name ~C- ~~ / / <br />L, Dam , ~, / <br />"l <br />Cantrecarrname <br />(~L~' ~L3 / ~.~7~/il' ~i Bids /J <br />i~l/.vrF~3 3zz <br />IC <br />Contracrnraddrass /~ <br />e~ ~ J P01r /) -Q(t /i <br />C' 7 <br />¢Jsr.O ~n.G~ -z~ Begs , ~(CY12 <br />ProjeclManager ~ ~~ Change grders <br />The mYorring dlanges ere hereby made m tlw Purchase Ofder: pndude the cosVtime a~us6nent for each change) <br />iii i `~ c~ P~/~~o e~ CHs ~R~ ~ 1 s k~~~d ~~o <br />~/ dA s' ~o ~ ~1i ~z 23 ~ J ~~ 5~` <br />.2- ~ricvr <br /> <br />.xlstirtcariort ri~~r''12d~/ ~!r'~i~~r~0 /mil AC~D~-ofIT-,~ yt,~~ltN/~ i/a.K <br />~ NAG 9// <br />`,~Pso~c 0~,9-~ <br /> <br /> <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: 35~~5 Z j Z <br />J <br />Curtest Purchase Order Price adjusted by previous Change Orders: ?j ~ G S7, 5 Z <br />The Purchase Order Price due to this Change Order will be increased/decreased by: <br />The new Purchase Order Price including this Change Order will be: 3 ~ ~ S z, 5 Z <br />Change to purchase order time: - <br />The Purchase Order time wil ~ increas ecreased by: ~~ ~~Y <br />The date for completion of all work will be: ~ 5 <br />Recommended by: <br />\ ,MLRD Project Manager <br />Accep /f') <br />~3' (.(~- .Contractor <br />Approved by: <br />MLRD Program Supervisor <br />