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I�� WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF <br /> CHNWWOORDP y MINERALS AND GEOLOGY <br /> been -budgeted and otherwise made available and a 1313 Sherman St.RM 215 <br /> sufficient uncommitted balance remains available for encumbering and Denver.Co 80203-2273 <br /> -11b,seuuent payment under (303)866-3567 <br /> Project name ate <br /> �✓ / �cs _ _ <br /> Contractor name I / Bid# <br /> SUE_ CdtiS �UC�p,t� - S - S � <br /> Co ntracto r address Ref PO# <br /> a Req# �' <br /> I Project Manager �— Change Order# <br /> fie following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> cOA--S vL ` /� e/ZC e '� IC ti /Lc S/ e <br /> tC G <br /> Justification <br /> T AO1 t <br /> e v se <br /> C e en.L n - Sf P t .✓ E rc, <br /> /d e 5 1 - <br /> -e a w e vrqe,, t 0 0,7c4 ise <br /> N L ram. /i </- <br /> C Sly e 7- fq <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> Current Purchase Order Price adjusted by previous Change Orders: /� < <br /> S <br /> /tiCiCt?SFO 7 <br /> The Purchase Order Price due to this Change Order will be by. <br /> s Sib <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 /> CAL C, <br /> `,pproved by: <br /> , MLRD Program Supervisor <br />