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FIELD DIRECTIVE RECLAMATION <br /> MINED LAND <br /> RECLAMATION OtVt66g <br /> 1313 Shemtan.SL.RM 215 <br /> Deriver,CO 80203-2273 <br /> Project name <br /> (303)866-3567 <br /> G <br /> A C, i 7/P S e q c G ft ?Doti Data �Cl2r <br /> Contractor name <br /> T- _ N _ `U,✓ laid#pK.4_ _ 9 <br /> Contractor address PO# <br /> /1/`f/�G% � 5- Req/ # <br /> Project Manager <br /> Field Directive# <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 <br /> $ Increase/Decrease <br /> 517L c -I-m /C- c/7C.)ss � � �— <br /> C St /G �• e;f <br /> Net change in contract price rJet change in Contract time <br /> Days <br /> This document shall become an amendment to the Contract.All Contract provisions shall apply. <br /> Approved by: <br /> --- Date: <br /> Project Manager /c <br /> Accepted by: �- <br />