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<br /> <br />COLORADO DIVISION OF <br />CHANGE ORDER MINERALS AND GEOLOGY <br />1313 Sherman SL, RM 215 <br />Denver,CO 80203-2273 <br />(303)866-3567 <br />Projed~wne ~P h,~s/ / r a~ ~ - /~ - 9'~1 <br />centracmrnante (.~jcDR.~DU (.rJtL~ ~~ Si//~~' eiax ~y hrrtirzS a'zl <br />Contrae0oraddress .9 / ~1 , Q ~,~ ~ <br />f O /~ ~# ~ 0719 <br />~ 4n~ ~C i~o/!/ -a . Raga .9 - yGL'z <br />ProjedManager H-~/ A/i~ UOi1/ cnanga OrderN <br />owingGchangesereh bymademthePu Otder:Ilnd tltecosUtime djustrnentforearh ange) <br />rJG/~- ~/MAiyii- o ru+~/ F~/ P /y1U~C HraC ~OOD, JJ ~j <br />z ~1i7 ~~ l03 ~ ~eR=/3r.E0 ~i9l~ii~ ~=rGi,Ei~ ~ ~oc9..~v~- <br />3 t~lw+~ /~G bo l chi ~o ~ ~ ~uc7v/~i€ S <br />o~ <br />L iT~'1 / ~ ~ ~'(aod <br /> <br />Justifieaticn _ _ <br />~-vf L fv ~dltiG /~/~ n~rlfitic7 i 7k,r~ /~i~/~SS/~~ ro~ <br />~ c~7lC Q~/Ie ~r~ w1 <br /> <br /> <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: ~2~/ ~5 a SZ <br />Current Pu1l;hase Order Price adjusted by previous Change Orders: 3 3 ~~ ~S~ - ,5 Z <br />The Purchase Order Price due to this Change Order will be increa d/decreased b : ~G d o~ . U U <br />/ <br />The new Purchase Order Price including this Change Order will be: '~z2 ~~.~ z,5 z <br />Change to purchase order time: - <br />The Purchase Order time will be increased/decreased by: <br />The date for completion of all work will be: / , eJ' , Q yl <br />/ <br />Reeom by: /J j <br />'! , M~RD Project Manager <br />Accepted, y: <br />,Contractor <br />Approved by: <br />MLRD Program Supervisor <br />