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III I II I II I II IIII III M NERALS ANID GEOLOGY <br />CHANGE ORDER 999 1313 Sherman St.,RM 215 <br />Denver, CO 60203-2273 <br />(303)866-3567 <br />/1 L f1" ~ ~ ~ ~ /] /~,, 1 <br />Project name lUl I~I.Q IIiYIC LNUAA ~~ ~ 71Tf~ ~/i%e(,7" a~ )~ j'Z '"~ <br />Contractor name ~," ~ ~ }, Bid # <br />ty ``.. G <br />Contractoraddrass <br />..l <br />1 <br />f~VV <br />f~ PO# <br />L.~TI lw <br />I <br />0 <br />/~~~ <br />l ly <br />l <br />~ <br />lX 1A ( <br />r~_l.~~J <br />Req# rl~-~ <br />Project Manager Change Order# <br />The followingt~ angel. are hereby made to Purchase Order: (InGude the cost/time adjus ent for each chaqge <br />YQ,VISt~.-' ~ S s a S~ c.-~ ~ ~ . P6nC1~ ~ tcn ~ 35Z~ <br />' 61,pU,nr-~ 4a 15U ,Q1E sI'A,i '~h SP <br />bed tau ' ~ ~~ sc ~.Qe . <br />11.1,t - fll,f ~ l l ctn'-D~ L~,•Yli!' ~ Vl G~l~~u <br />~: f 0.~ <br />J~ <br />~~ ~~r~~•1.~;hA~i~1. <br />Justificatlon ~ rn ~ -j~ ~ ~ 1~ L !~ _~~~ ~ ~? ~ ~,,e <br />Sw V.-~ ~ V II/1/~ ~.V ~ v~, rl. ~' 1 IV i•'W~LX.i~ LVr(, C~~ <br /> <br />jZt~1~lC~tvU G~.LQI;LVnC~ L~'~ ~ V'Nbbt, ~ ') ii.Lt.L',~ tC ~~'t''~ .~,» U~~ ~- <br /> <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: [~ / ,~ 10~ , ~ `~ <br />Current Purchase Order Price adjusted by previous Change Orders: <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: ~ ~ ~ I~d4 , O(,~ <br />Change to purchase order time: <br />The Purchase Order time wi be increased/ ecreased by: <br />The date for completion of all work will be: <br />~C1~,U1'1~' ZS lr1 ~l <br />by: <br />MLRD Project Manager <br />Contractor <br />MLRD Program Supervisor <br />