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REP11994
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REP11994
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Last modified
5/3/2012 1:04:00 PM
Creation date
11/27/2007 12:48:37 AM
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• • I WLVNPIUV MINLU L NU I <br />CHANGE ORDER RECLAMATION DIVISION <br />1313 Sherman St., RM 215 <br />Denver, CO 802032273 <br />(303) 866 -3567 <br />Project name O4C Gk G k�L t..t_ (Date <br />��±± <br />9 S01 92_ <br />Contractor name .uo C NS7,4.a1C.7(UlJ <br />&d # <br />Contractor address 50 ,P-`� !2 U I <br />�/�4J <br />#C- 917-. <br />Req # <br />Project Manager O S ��E^ <br />Change Order# 1 <br />The follovnng changes are hereby made to the Purchase Order: (Include the oosvtime adjustment for each change) <br />A m Tue d=s T 6c BaCxFrLc�ro: 30 3! 32 f 43i q36 <br />3 65 °' eActt. ° o df eoJCX,,r1 u. & ;r c C- -r A✓ -l' S 22 . UO <br />ADD RfT +2-9 AS A MgJ0 PLIJ t / <br />Aop s "AF7 8 4 73S.00:) 1 aVV4e 76 — 6 - 1AL PU. <br />Justification <br />4 Se /n w= o i w -7- LotAIL-Q DJ .,JG uUcr o �O -o <br />µLL_L_ t-„ Wit„ - l+ac-A. L4 AY1c= 610 C AE - AMALSscocJ <br />8 SAf�C- 7Au9b. " tv6 'I�+� 1- L s wV(4.c.. geS�L'T W lcro <br />� � JL�!> <br />�u Ge or- P1 EST CCG &4P— Auc<u $ iS AdcPACaG Fue <br />C-20L6 PA6.1,Ta7 SLO <br />Change to purchase order price: <br />Original Purchase Order Price: <br />i 60, 827 3 <br />Current Purchase Order Price adjusted by previous Change Orders: <br />541+4l-�" <br />The Purchase Order Price due to this Change Order will be increased /decreased by: <br />— 96AA I AAA <br />The new Purchase Order Price including this Change Order will be: <br />Change to purchase order time: <br />The Purchase Order time will be increased /decreased by: /SA'( 5 <br />The date for completion of all work will be: <br />Recommended by: <br />MLRD Project Manager <br />Accepted by: <br />Contractor <br />Approved by:_ <br />_ MLRD Program Supervisor <br />
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