1995-06-14_GENERAL DOCUMENTS - C1981048

• Permit No: C1981048
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 6/14/1995
• Doc Name: PKA-9-440
• Permit Index Doc Type: Reclamation Projects
• Media Type: D
• Archive: No

CHANGE ORDER WHEREAS, authority exists in the Law and Funds have COLORADO DIVISION OF
been bud eted and otherwise made available and a sufficient uncommitted MINERALS AND GEOLOGY
comm e
g 1313 Sherman St.,RM 215
kalance remains available for encumbering and subsequent payment under the Denver,CO 80203-2273
greement.
Project name [phone]
At IDate
Contractorname t9w�S . R Bid#
Contractoraddress p
LPC
PO#
m/fc"6 ee / L q t/ Req it
Project Manager
�O!F- I.,Nh4' Change Order#
The following changes are hereby made to the Purchase Order:(Include the costttime djustment for each change)
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Justification
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PA 491-0(;F 4,40 li Ar*--S 11V 041-4Arr e)a a"p#?-9E fV0
Change to purchase order price:
Original Purchase Order Price:
Current Purchase Order Price adjusted by previous Change Orders:
The Purchase Order Price due to this Change Order will be increased/decreased by: p b
The new Purchase Order Price including this Change Order will be:
Change to purchase order time:
The Purchase Order time will b increased/ ecreased by:
� a,9 ys
The date for completion of all work will be:
Recomm
MLRD Pro Man
Acceptedby 1 Manager
i
Contractor
Approved by:
MLRD Program Supervisor