GENERAL47325

• Permit No: C1981016
• IBM Index Class Name: General Documents
• Doc Date: 10/25/1995
• Doc Name: CHANGE ORDER
• Permit Index Doc Type: RECLAMATION PROJECTS
• Media Type: D
• Archive: No

MINERALS AND GEOLOGY
CHANGE ORDEF III IIIIIIIIIIIIIIII COLORADO DIVISION OF
RFC;EIVED 1313 Sherman SL,RM 215
Denver. CO 8020.3-2273
[phone]
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Contracrorname At,$ j} ifi, t .~ ~ ~ .~ Ion oI Minerals & Goolog &d # 'pKA -(r, - j Db
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Change to purchase order price:
Original Purchase Order Price: S Z ~~ r ~1 G~
Currert Purchase Order Price adjusted by previous Change Orders: ~ (Z~ C 1 ~C I
The Purchase Order Price due to this Change Order will be increased/decreased by: ~~ CL
The new Purchase Order Price including this Change Order will be: / 6-l~ t '1 C~
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Change to purchase order time:
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The Purchase Order time will be increased/decreased by:
The date for completion of all work will be: ~ I ~ V~rn ~~~ ~ I tC~~+~
IV
Recommended by: -
S / , (.~~ ,MLRD Project Manager
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accepted by:
Contractor
Approved by:
~~~~,~ ,MLRD Program Supervisor