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p6e�'�d'-)y�P ,q�w <br /> WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF, <br /> CHANGE ORDER been budgeted and otherwise made available and a MINERALS AND GEOLOGY <br /> sufficient uncommitted balance remains available for encumbering and 1313 Sherman St.RM 215 t <br /> Denver,CO 80203-2273 <br /> subsequent payment under the Agreement. (303)866-3567 <br /> Project name Cam [� N e Date e-, z G— T S- <br /> Contractor name Bid# <br /> Contractor address PO# <br /> c <br /> Req# /A , <br /> Project Manager Change Order# <br /> — <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> 7/ (- / -,)Lz a-s -7-S c to <br /> v •e i^-r C c..- e /V Ise C A71Z ,g- <br /> G^� A-- l I. ( T- 5-7- <br /> 7-1e G./t - /�}'fi �-� /� �/QC [ L / S <br /> 1 <br /> Justification <br /> t ` Fie /� s u Se`7q—J( fv <br /> e O r7c— <br /> Change to purchase order price: <br /> Original Purchase Order Price: 10 <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> The Purchase Order Price due to this Change Order will be increase y: o <br /> 5/ S Q <br /> i <br /> The new Purchase Order Price including this Change Order will be: /v ;L o f 5-- Q <br /> / S <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 /> l <br /> Approved by: Contractor <br /> MLRD Program Supervisor <br />