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~_~ <br />CHANGE ORDER COLORADO MINED LAND <br />RECIAManoN DIVISION <br />1313 Sherman Sl, RM 215 <br />Darner, CO 80203-2273 <br />(303) 8663567 <br />Project rwne e l~_~ <br />71l ~,-~ Dare <br />Contractor name ~i n~ y..r.`~, <br />.N ~. ~d # ~~, . - MAN <br />Contractor address <br />/~r <br />vl ' PO 6 e - ~q 90 <br /> 2J Rte" fkA- y~-oos- <br />Project Manager ~ Change Orderp 2. <br />The following changes are eraby made to the chase Order: (Indude the costtime adjustment for each change) <br />Tiffin ~. <br />~1i ~ S <br />~i1,u- ~ ~(,~ ~e~ <br />Si ~, f~c ~ <br />JustlficaUOn ~~y~~-~, I ~ ~,~ <br />ll/ <br />r ~U1 1 ~^~.fl.U ' <br />~ f <br />Val <br />~ <br />/ <br /> <br /> <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: <br />~`1f~ $S"4 • ~ <br />Current Purchase Order Price adjusted by previous Change Orders: <br />The Purc se Order Priced a to this ~han a Order will a increLased/decreased by: <br />The new Purchase Order Price including this Change Order will be: <br />~~0 (J~ 7 • W <br />Change to purchase order time: <br />The Purchase Order time will be increased/decreased by : 0 <br />The date for completion of all work will be: ~ I j I ~j <br />Recommended by: <br /> <br />' <br />,MLRD Project Manager <br />Aeeeplsd by: Contractor <br />Approved by: _.... <br />MLRD Program Supervisor <br />