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~~ <br /> <br />COLORADO DIVISION OF <br />CHANGE ORDER MINERALS ANDGEOLOCY <br />1313 Sherman St., RM 215 <br />Denver. C•0 80203-2273 <br />(3o3less,~se7 <br />Prolednarrra (T`~ - F/~'.ST ~T aee r p _ /~, 9 <br />(ieflVef.'tOfnartlB 14~~~~ W~~ ~lN(1 Ridr ~~~ /!(/Nry$ 377 <br />C«rtrac0oraddress ~y ~ o ~~ ~ POr C _ 09/x`{ <br /> <br />PropctManager ~f //'CC,SoN Charge Orden S- <br />The blloviing~d7wnges are hereby made ro the Purdrase Order: (Induda the ooslAime aQustment for (~ Q <br />n'I !~ Ctt-rN~ j l "t C T j Fr~l S / S /}..O / lP O/G ~ 8r Q~ O~C~~~ /1FX/LS1LQ <br />jv S pr<v~ ~f)% 9''r~"'~ S//F.c/G/Fca F°~'l %7fef'~ 17F.~S /G ff~fS. F~cN <br />Tots ~~ : Go.E ((~s - (G Tres = v~ls (/~s~~' 9o/1~'i - 'to~3-00 <br />aCRA-l'!~ .5,2 ~S - /G W1S ~ 36~H~(s /6~?zz = .~-83R.4z <br /> <br />Justification 3 ~, v D <br />Arco A 3G.~ CHx-+PG~ 9'ssoa.i9;m0 k5 fl ~k'vP ~/~/~~ <br />SAL /D~~o.4z <br />I><<L 0~ ~ft= ~~ ~~Z~ I/^r~ ~tlf/S LlS'e0 TD i1/puG A L~iQ(i~ /~U~cYG <br />Sj~~~ ~(?If6~ /fi/G ~ ~} Sn•~ ~~L ~io~KPa~ u~ ~h= lvizci s/oE ~r.>~ <br />6~~ B /= Zl7t f~S-~,i . <br />Change to purchase order price: <br />Original Purchase Order Price: ~ ~-7j~ ~2 5Z <br />Current Purchase Order Price adjusted by previous Change Orders: 3,2.Z~ ~ ~. ~J Z <br />The Purchase Order Price due to this Change Order will be increasedrdecreased by: <br />\___ _-.' ~ ~~ ~(~Q QZ <br />The new Purchase Order Price including this Change Order will be: 33 3 /~ ~ ~- ~~ <br />Change to purchase order time: <br />The Purchase Order time will be increased/deaeased by: ~ <br />The date for completion of all work will be: ~ -~ <br />ReeommenLedby n <br />~~' \ ~-,l ,MLRD Project Manager <br />Contractor <br />MLRD Program Supervisor <br />