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CHANGE ORDER WHEREAS, authority exists in the Law and Funds have COLORADO DIVISION OF <br /> MINERALS AND GEOLOGY <br /> been budgeted and otherwise made available and a sufficient uncommitted 1313 Sherman St.,RM 215 <br /> glance remains available for encumbering and subsequent payment under the Denver,CO80203-2273 <br /> g r e ement. (303)866-3567 <br /> Project name f Rl�y<O I�✓ Date <br /> Contractor name 1� S . <br /> Contractoraddress ,pD, O / PO# <br /> t <br /> y'k6 1 Lq Y Req# <br /> Project Manager Change Order# Z <br /> �o(+ /vi:�.ao <br /> The following changes are hereby made to the Purchase Order:(Include the costitime djustment for each change) <br /> 1 '/f g o44 GbA 01le- L E h�'�i? ?j 4,-P ZZ4614 tS fo ®t ftw s75Pa-e,7,,N�, A <br /> NEW 614 W*9, :r V 47*hV-. ,q,�/ 8 "Pvc �i� .¢Cit'e rs i try �'i e�e�• <br /> BR,06 I�YMu�ftT� 6 /��PR y Pr•vh f1 x0 ( ,.Gk�71 nC C�HAwN�w �Ki Sor» r 0� �7fli �PQGF� <br /> 610 9S R .CuwcP- Sow <br /> + lo�eoa <br /> Justification <br /> t 'Z�J 611.1-9 47-A&IV' Awe aPR,R qF ex o6o <br /> A � d ':F1 ol S&Aek• 104-4Gll-a Jlfo 136J7 F *a DF <br /> ,-1* 99raC,F. r AWD /! A,nf--S AV 04,"aAf 4to a"'"VIZE. � PUC li'vIi- .w#-S Z.va%�4�✓J j7� <br /> 049xv Kowar-lo 1,009, i2a'Vo s-_ 14Z. <br /> Change to purchase order price: <br /> Original Purchase Order Price: d 0 <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: / DAD e>o ' ©b <br /> The new Purchase Order Price including this Change Order will be: <br /> Change to purchase order time: <br /> The Purchase Order time will b increased/ ecreased by: 2 109 -S <br /> T �l <br /> The date for completion of all work will be: <br /> Recomm <br /> MLRD Project Manager <br /> Accepted by <br /> Contractor <br /> Approved by: <br /> MLRD Program Supervisor <br /> (over) <br />