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• III IIIIII_IIIIIIIIII ~ <br />yyy <br />CHANGE ORDER WHEREAS, authority exists in the Law and Funds have coLORADO DIVISION OF <br />MINERALS AND GEOLOGY <br />been budgeted and otherwise made available and a sufficient uncommitted 1313Shennan SL.RM215 <br />alance remains available for encumbering and subsequent payment under the Denver.C09o2o3-2273 <br />~g re emen [ . (303)866-3567 <br />Project name ~ (~/lOAp !~/ Jtq JNl// C am ~^ /5 - 9S <br />Contracrorname /{(sSS,(f /Q " .(9-~++~'~e~/ <br />'K ela• <br />M NC nliN~s -3v8 <br />Contractoreddress p ~ PO x <br />v,ptiE ~ ! z~ w Rey <br />ProjectManager ~OF4~ Nft-a~0 Change Orderp Z <br />TheloOowingchangesareherebymade~tothePurchaseOrder:(IndudetheeasMime djustmantloreachchange) <br />1 %71ff tg~a6l1: ~APeSS ~Lt~61+r1 Pa~ya/ lJICL ~£ ~hPIJ/?/~D A~ r3'~IOIC/>Sf.4 e~ Ca'r'.ti'~PoCir^'6 A <br />/1rEu lirfr t.rf}w' ~,vsrl~.lo A'/ 8„Puc .Ci+~ ,¢o„fers iNE A'iR.aaF~ ;c.rsrgc~.,.w AG>A,Qo ~araAal~ssZ/-fE <br />Bk~OGE i ~YO~/U.f71.r(. , /Q~PREF/~-.s, -t-o ~+[irJ^L A CNA.,.~i.L ~i7KL Soor~r- F~wJ Di i7Fg ,Qf:vG~ <br />gr0 As h ,Cu,~P- soa ~~ ('a,.7NNa~ ; Y~eL„a6a ~+- ~rY~A[. ~0 ~AS°'+{. -!- lD~see e~ <br /> <br />Justification <br />l S~}bltl.;s,4Tle~ Po•6 ~PA~R A~ ~srt ~•o6E lags rPB¢t `.wx~•O ~Ii~ ~tk- /,(~..fcmu~.Er~ ASSN <br />I}Ft-f%R /~~ !f~ RA„rs od 5-b~ ~ ~ 8 ~ qs SEodP< DA-»4C%~ ZfrE Soo7H- 6w0 BF <br />~~[ ~,aQf. ,}~p !j hnf•S /r/ l~e'4 AF C~tcr4~sE. f>L ~vC /,lM~ .w~1-s Z•vs~zr-r~J j7~ <br />QRR,c ~,.ror~ ~ ~j~R,,,.a„~ ~'oNb ~5- Pz. <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: ~ S B'3S' a c7 <br />Current Purchase Order Price adjusted by previous Change Orders: G ~~ S / ~. $ a <br />The Purchase Order Price due to this Change Order will be increased/decreased by: l ~~o o p , OCR <br />The new Purchase Order Price including this Change Order will be: ? ~ 5-/ ~, <br />I <br />Change to purchase order time: <br />The Purchase Order time will b increased/ ecreased by: -z Qq~s <br />T <br />The date for completion of all work will be: <br />Recomm 4 ~~/ /; <br />/~//n~.lW'/'ll.A.n' ,MLRD Project Manager <br />Contractor <br />npprovee oy: <br />MLRD Program Supervisor <br />