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<br /> <br />.- ~ _ II <br />= I IIIIIIIIIIIII III <br />999 <br />CHANGE ORDER <br />MINED LAND RECLAMATION DIVISION <br />INAC7IVE MINE RECLAMATION PROGRAM <br />~:,:~ <br />Purchase Order Number: -5`j2 $ Purchase Requisition Number: AKA- /-oo5S <br />Change Order Number: ~ Date: ~]~15~Q/ <br />Name of Project: N2w Pryor <br />Contractor: ke55ref ~ec~ctw~a"E7oy1 <br />The following changes are hereby made to the Purchase Order: <br />it~M #2 ' ~4DD ~/Of©DO °-° ~or a revised Subs-~-al o-F ~ IB 8~©°° <br />ITEM #7: /kDD 37•~ hours HBO°-° ~{~r ~vr a re/ised su619~1 of .~6,2O0oc <br />Justification: See af-1uc~ea StiBe~ <br />Change to purchase order price: <br />Original Purchase Order Price: ~6~~ IOO°o <br />Current Purchase Order Price adjusted by previous Change Orders: <br />The Purchase Order Price due to this Change Order ~ 3 O 00 0 0 <br />will be increased/decreased by: ~ ~ <br />The new Purchase Order Price including o <br />this Change Order wi 11 be: ~ 74 , QOO °- <br />Change to Purchase Order time: <br />The Purchase Order time will be increased/decreased by ~Vo G~a~~e <br />The date far completion of ali work will be <br />Recommended by: <br />Accepted by: <br />Approved by: <br />MLRD Project Engineer <br />Contractor <br />MLRD Program Supervisor <br />