1995-09-22_GENERAL DOCUMENTS - C1981017

• Permit No: C1981017
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 9/22/1995
• Doc Name: Bid Documents ‎(IMP)‎
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

COLORADO DIVISION OF
CHANGE ORDER MINERALS AND GEOLOGY
1313 Sherman St., RM 215
Denver, CO 80203 -2273
(303) 866 -3567
Project name
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Date
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Contractor name
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Bid #
Contractor address
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PO #
Pp p I 95 00 0000
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Req#
Project Manager �
mot_ � C,,.ti e ft-
Change Order#
The following changes are hereby made to the Purchase Order: (Include the cost/time adjustment for each change)
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Justification
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Change to purchase order price: —
Original Purchase Order Price:
/ 0`
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Current Purchase Order Price adjusted by previous Change Orders:
The Purchase Order Price due to this Change Order will be increased by:
//
/ 8 / q 3.- , 7.5
The new Purchase Order Price including this Change Order will be:
Change to purchase order time: .
The Purchase Order time will be increased/decreased by:
The date for completion of all work will be:
Recommended by:
.-------------
�� , MLRD Project Manager
Accepted by:
; � t Contractor
Approv y:
, MLRD Program Supervisor