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� <br /> AUGCOLOF2ARQ, VISION OF <br /> UG 2 9 � c� d 12 MINERALS.A Gy91OLOGY. <br /> C" DE D1viS1 U Yl 1313Shrlff.RM215 <br /> MINERAL �'a� enna <br /> )F U Denver,CO80203-2273 <br /> Jr X (� (303)866-3567 <br /> ject name Date <br /> contractor name Bid# <br /> 3ontractoraddress PO# <br /> C c-4 c-,t:;, P0 P 17A 9S-0000 0000 9 <br /> Req# 5 <br /> C /z 6, 7 / l 3 <br /> 3rolectManager Change Order# <br /> c c A. ell- <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> Z A/C R-e ?.5 e- 2 -6r&Z. <br /> Z n� c a c r�ti. l6 6 A-c_� e <br /> e n-T ,Q Ts/-/ /O c /1 /L 2 r.c 2S <br /> U7iGr c_ 8S� 6 F--/i- e_heRGP.� c�— C �,?,� n c& Goy-sT/L —c-reov <br /> P/ IL,,oe 6 '✓9d ,c 2 C �i tit L- /`�f�/ti7c ,t— / <br /> cc ( OvTc 4 Cep /Gl-h5- <br /> Justification / <br /> �.�L- v t R /�c �(ad �c N� v <br /> LL .,c /L✓ A-1>5 C o A v c T O F e/`i v 12 1,e. c C- <br /> Lc,ys✓n��G <br /> /1O c {-e 9c 1—V c ors' C- -e/SRc 5 r le <br /> C (a LFc h V/7 i C� T�c t <br /> See /-i"T7/;C l e /> <br /> Change to purchase order price: In <br /> /1 __ o <br /> Original Purchase Order Price: �rre�ed <br /> Current Purchase Order Price adjusted by preK JOr rs- <br /> a <br /> The Purchase order Price due to this Change OW ill b creasedAkN;2mmzE5L1'WY: <br /> 1 <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: <br /> The date for completion of all work will be: <br /> Recommended by: <br /> MLRD Project Manager <br /> Accepted by: <br /> Contractor <br /> Approve y: <br /> MLRD Program Supervisor <br />