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COLORADO MINED LAND <br /> FIELD DIRECTIVE RECLAMATION DMsION <br /> 1313 Sherman St,RM 215 <br /> Denver,CO 8o2o3-2273 <br /> (303)866-3567 <br /> Project name e P_A' C L 9ri-t �✓ Dal <br /> Contractor name Bid# <br /> �«-17 <br /> Contractor address S AD PO# <br /> G a/ tit CCc la 0Z 4190 8 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. 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 /> e to Cr,ti.GA�*- A-e .5 e o/= 2c- A sr-, <br /> �64-ce Qt e54-o CGti C/Le t-e- /2C�7 C'a /N� TT <br /> f5AC /�wA//. �'G.vS`Cr ?)iJtL r�-- Let, eL <br /> (t,4ce- Q 9-x7Z,,e Cave/L. A-0 <br /> 517 c c e /5 cA--TZ a N 5-- <br /> 17 iv 0Xpe/L /V -ei 41,1,1A- <Q /L C i,e y�T47z c•�. <br /> 19, J-e..,n 9-L, Iglc frwf'/l c S 4 — <br /> Oec/u-t->tq /-/a--7 112-H � � Sec/rie0, P� <br /> Net change in Contract price Net change in Contract time <br /> $ �' Days <br /> This document shall become an am e ent to the Contract. All Contract provisions shall apply. <br /> Approved by: Date: <br /> Project Manager '��'�� <br /> Accepted by: <br /> Date <br />