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iii i~iiiuiniu iii <br />ggg COLORADO MINED LAND <br />CHANGE ORDER RECUU+anoNOmsloN <br />1313 Sherman SL, RM 215 <br />Denver, CO 80203-2273 <br />(303)8663567 <br />Project name ,~ ~ , ' `O r ~. e <br />1/ U.l.ll Date la <br />Contractor name ll,..-/1 <br />~~M1.K/ BidenA.t- - <br />f~ly <br />Contractaraddress <br />1C POp <br />C- <br /> Req"P - -OCR" <br />Project Manager Change Omer N 6" <br />DSO <br />The following dtanges are hereby made to the Pu aze Order: (Indude the cositime ed)ustment for each dtange) <br /> <br />X99 ~ ,~. ~. <br />U.riC~tr 77 <br /> <br />Justification <br />IZL/Y~ ~ (~ 10 1 10 <br />lb Z 10 D 11 II II 11 f[ It <br />i( II 2 t - II Z <br />f O ~. 2 1 <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: ~~ ~J ` ~l <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: N,~- <br />The new Purchase Order Price including this Change Order will be: q'or~ J <br />77'' <br />Change io purchase order time: <br />The Purchase Order time will be increased/decreased by: a ~ <br />The date for completion of all work will be: • fl„ ,~, . _ _ ~ aqJ Inp 2 <br />(~G(~C.F'~ l /J <br />Recommended by: <br />MLRD Project Manager <br />aeeepted by: <br />,Contractor <br />Approved by: <br />MLRD Program Supervisor <br />2 <br />