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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.RM215 <br /> Denver.CO 80203-2273 <br /> subsequent payment under the Agreement. (303)866-3567 <br /> Project name <br /> Date � Q <br /> - 3a <br /> Contractor name Bfd u <br /> Gum v /ate ?1-�A -S - 3 76 <br /> Contractoraddress -- PO u <br /> o. i3 a G C <br /> Req# N '� <br /> vt A �a lU/L�/]o f�/ Sa <br /> ProfectManager S ti Change Order# <br /> vc 1�-n.C2_ <br /> The following changes are hereby made to the Purchase Order.(Include the cost/time adjustment for each change) <br /> S o C( C— ll)it/ 2 //`7 �U/2 <br /> O tTe CT CU G 7 2w D -/1L <br /> /1/ 7-1 L e TQ 7120 Cr e <br /> Justification <br /> / �v f}T s}y- <br /> e r--alL /c C 7 .c —/7,j <br /> DO C L-1 f-7 �e /-7 D/-7 -e,,.T n, C 2 e c T l <br /> S 7-c -e i�r c —U/L C S C 9 (� <br /> 11Oe2 CU/Z2e_c-7S e 0C /'-rt T ,7t.. /`ye 7- e1220& <br /> Change to purchase order price: <br /> i Original Purchase Order Price: <br /> Current Purchase Order Price adjusted by previous Change Orders <br /> The Purchase Order Price due to this Change Order will be increased/decreased by <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 /> commended by: <br /> MLRD Project Manager <br /> ,cepted by: / <br /> Contractor <br /> ,proved by: <br /> MLRD Program Supervisor Jam„ <br /> a <br />