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COLORADO MINED LAND <br /> FIELD DIRECTIVE RECLAMATION DIVISION <br /> 1313 Sherman SL.RM 215 <br /> Denver,Co 8o2o3-2273 <br /> (303)866-3567 <br /> Project name ` z - Ina P L-e C L `h`-c N Date 91 C <br /> Contractor name Bid# q <br /> Contractor address PO# <br /> /' S- f 7 2rI•9-l� q <br /> CG la✓?4 C0 O � i� �' Req# <br /> Project Manager <br /> /L Field Directive# y <br /> Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Feld <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 /> PL, e- to C,r,&,CAe 4-e-tA- S v/Lr',9- <br /> 1r7G4}Ct Pe f'G "c:& j Cldl T- <br /> i7,, rC4 OA- Sv2��lct ter= 12 Jr-,5 � <br /> /5/ Lfi.t(_ -tv elcrc.�-T <br /> P/2,q-crcc�8le_ Co�ez C--t T, 3 c/= /4r117'e-t( <br /> v✓T AW ai`j L D C o tz <br /> t�4-c4e 2 7Z,e ✓ CC/ve-/L AN-0 <br /> 5Z?e-c f Fz cA—TZ a Ai 5'- <br /> -77 <br /> /v oxPe k- -eA.4t/ <e t c.e y cT<Ytz c•�. <br /> 190 Tr*t..,, F>11C ffw,r?( c L. t S4 civ14 - <br /> 1I�c/u-t-Stp !'�Z�-"j e T� <br /> • �l�:/ V. <br /> Net change in Contract price Net change in Contract time <br /> $ Days <br /> This document shall become an ame ent to the Contract. All Contract provisions shall apply. <br /> Approved by: Date: <br /> Proiect Mananpr <br />