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P <br /> DIVISION OF <br /> CHANGE ORDER WHEREAS, authority exists in the Law and Funds have M NERALSCOLORAANDGEOLOGY <br /> been budgeted and otherwise made available and a sufficient uncommitted 1313 Sherman St.RM 215 <br /> lance remains available for encumbering and subsequent payment under the Denver.CO80203-2273 <br /> reement. (303)866-3567 <br /> Projec tname /�✓1 g �Sppr ate <br /> Contractor name %;,SSt:a�Q �1�CC�����✓ &d#M rC_ <br /> Contractoraddress <br /> ti f PO# <br /> /fi0`CKU�cF 69 Req# <br /> Project Manager = Change Order# 3 <br /> Th following changes are hereby made to the Pyrchase Order:(Include the stnime adjustment for each change) <br /> I 3"y y F 34-4"- BE jit/�i4u i5o %74E Ri OW, P1il1 ff,>4Q 04 s SiAv'G <br /> --l-24- S Jt3 6A'90-;c -t- —~"9G9 FK/Sr a✓vPSi7�E.4+r.oS�9� Or- C4-FS,1✓G. + ?(,S. Za <br /> z RI pye w &V 77fY= ryrri-qtPF or"--}iG Jgg-Al!�q^ f&-o IS--Piv cS 4(,,_Rr- �47FA466O I?�Fr <br /> -111 d1/j�'l� B� � l �i4� i�r�� �0 L�lyu�� �/k�, t �9y�• �D <br /> l a <br /> Ju cation � k Eo <br /> .of Or )C,0, 'C/losS,--C . <br /> y <br /> U Mia- -t4 /-fly /Z1qj •017-0 4 Am..o e10-4AIo q .'''1/ <br /> K ,l .L , 11 .. <br /> i <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> The Purchase Order Price due to this Change Order will be increased/decreased by: <br /> The new Purchase Order Price including this Change Order will be: 2 <br /> ,hange to purchase order time: <br /> 'The Purchase Order time will increase decreased by: ,2 04 Y S <br /> The date for completion of all work will be: <br /> .ecommended by: <br /> MLRD Project Manager <br /> ccepted by: <br /> , Contractor <br /> :proved by: L� <br /> MLRD Program Supervisor <br /> (over) <br />