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..' <br />. ... - ~. _ <br />r-. <br />'::'i. ~-., .. ~ ~ ~~ .. .. .'.::`~sE COLORADO DIYISIONOF.•:',~ <br />CHANGE;ORDER ~ ''rtINERALSaNDGEOLOCY <br />.. ~ ~ ~ ~ ~ :°~ 1313 SFiemtan SC,RM 215" - <br />Denier, CO 8l)203~2273 <br />. .. (303)866567 <br />Projeaneme g *.~ i NL~' ' I ~ <br />~ ate <br />conoaomrname Bid#n _ L- <br />R <br />Conlradoraddress ~ PO# <br />_~ <br /> mm <br />ReQ# - J -W~ <br />ProlectManager Change Order# a <br />The following dw <br />nges <br />are hereby made to the rchase Order: (Indude the costAime adjusbnent for each change) ' <br />~ <br />/ <br />T ~ <br />l. <br />t <br />~ <br />r`p <br />n n <br />n <br />~ <br />l~V~l~ lAA ` ~~ I~ ~ ~ l!C lam/ <br /> <br /> <br />Jusfirreaoan <br /> q~ 7~7 <br /> <br /> <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: ~ ~~ I `„ ~O <br />Current Purchase Order Price adjusted by previous Change Orders: ~ /_~ I O~ ~(l <br />W <br />The Purchase Order Price due to this Change Order will be ' crease ecreased by: <br />~J lJ <br />~ ~ T <br />w <br />The new Purchase Order Price including this Change Order will be: ~~a asq.o~ <br />Change to purchase order time: <br />The Purchase Order time will be increased/decreased by: O <br />The date for completion of all work will be: <br />fUov. as ~ ~ <br />Rewmmendedby: ~,~-~/j~ ~ . <br />~~ ~, l.dU 0~ " ~ ~ (a ,MLRD Project Manager <br />Accepted by: <br />Contractor <br />Approved by: <br />MLRD Program Supervisor <br />