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COLORADO MINED LAND <br /> FIELD DIRECTIVE RECLAMATION DIVISION <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name �✓ t 3 Date _ 5-_ y Sr <br /> Contractor name Bid# <br /> Contractor address PO# <br /> Req# <br /> Project Manager Field Directive# <br /> Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Field <br /> directives resulting in increased Contract price or Completion time must be approved by a formal Change Order within 14 days. <br /> The following changes are authorized at the direction of the PROJECT MANAGER: <br /> ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br /> e T>� c t_ %� ! J i�z �i /� �G11/avR 7`/LK c> •� <br /> C2vPS J �/1lt, ewTS /? e-g /?/Pcn4j/�"�� <br /> 3 •4 C C -r-/A C t r i`i r t c p Pe /I TZi a <br /> T <br /> 3 ri~c C <br /> 7( d v;L <br /> r <br /> Net change in Contract price Net change in Contract time <br /> $ Days <br /> This document shall become an amendment to the Contract. All Contract provisions shall apply. <br /> Approved by: Date: <br /> Project Manager <br /> Accepted by: Date: <br /> Contractor // ;-'� <br /> rigid ect Manager copy-contractor' 4 <br />