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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 C �c g Date _ cl _ l�s <br /> Contractor name Bid#J �ACC' 1 Tt�� .� - s- s� <br /> Contractor address PO# <br /> v17.4 C 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 /> 1 Se D(/-7eo. 7 CC,P-- n/17-e .--i- pt-c c c t- /rtv-c-) <br /> /3e e/Z e c7`� P J7c, rzc.. C( 7d/SvI L 1�:Pr <br /> 4 r/v ti / v A, �- S f v jZ, a /v 1A <br /> rS7 el?, s- c7 /`74Nv,4-(re- 2 <br /> �-- %o`'Soi L 1-7 f-� c O /3o7-h IC/�z <br /> Tv /7 L7_�."(zdG"' !7 L_-%. 1A <br /> L �4-c-e/`7 e cv T A-7- /_-r -e- a L D /2 e ��S t ! (e_ <br /> 3 57 fj 4,,r -l-e1-r e T- /"9e�-5 /2 S M ,s T /5 <br /> e.y112 (v7 /� w4e f1✓4-r ' - (r 7-0rs�. <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 /> Y r.' <br /> Contractor <br /> ngion - roject manager copy-contractor 4 <br />