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<br />~~~ ~~~~~~~I~~~~~~~~ <br />ggg COLORADO MINED LAND <br />FIELD DIRECTIVE RECLAMATION DIVISION <br />1313 Sherman Sl., RM 215 <br />Denver, CO 60203.2273 <br />(303) 6663567 <br />~~17 <br />Projeaname ~~~+ /~~~ ~~ (;pj/.~ ~'jtLLs%w-~T/O~//' Date ~ /~ _ 9~ <br />Contractor name [.~~~I ~i~0 ~~% ~~~/ ti G Bid # QN~ M r ~r`S 32z <br />Contractor address ~ y / 3 ~ g~o ~a , PO # / - ~ 9G <br />/~A~^„0 t~ ^,e r o Cap ~/,z 3 Rey # t~ ~1 <br />Project Manager ~ ~ N~kS~ _ / Field Directive # / <br />Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Field <br />directives resulting in increased Contract price or Completion time must be approved by a formal Change Order within 14 days. <br />The following changes are authorized at the direction of the PROJECT MANAGER: <br />ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br />f 't//ST/~'LL %~'a</~e~N ~/,r-T/f /rY /=ls/~G/~ ~ciyT/='(7 <br /> <br /> BR~r; A,.~ Cu7" ~kn-c/~ ~~I`~T ~Sl~'G Tr-~s~c~,~' yt7U.oa <br /> <br /> ~Y~"IN ~ 1. L' X / /\ /i lull R/L I~'* O 0 (JST S N/C Gy~G SS i'~/P/ <br /> <br /> - P~~.es L~cSok ~o w.,,rr~ 6~n~ ~-o n.F-~ Wlrri" <br /> K <br />~Rp~T1Zai IS Cb,.(/~/frr0. <br />Net change in Contract price <br />~ Net change in Contract time <br />~ <br />,ct= <br />$ a. Days <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved ,~ l <br />~ Date: ' / <br />~ - g <br />!.-~ <br />1 ~-C~- ,Project Manager ~ ~ / <br />7 <br />Accepted Date: <br />Contractor ~-~-~,- <br />regional- roiect alter Copy onvactor <br />