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COLORADO MMINED LAND - <br />FIELD DIRECTIVE RECLAMATION DMSiON - <br />1313 Shemman.SL, RM 215 <br />Denver, CO 80203-2273 <br />(303) 866-3567 <br />Project name <br />Sr AS A' € e , a - <br />5 5 , e o ^J <br />Dace <br />, "�7'?9 <br />Contractor name , <br />p /!L T - /l., — "T a/✓ <br />St q - 4,4 <br />PO # <br />Contractor address <br />ley 5 / 7 <br />a / �'/ sa <br />c/ €7 /1 40v <br />Reg # <br />Project Manager <br />/ L '' C � e��r.r-� <br />Field Directive # � <br />Use this <br />directives <br />The following <br />form to authorize work changes due to - changed conditions within the scope of the Purchase <br />resulting in increased Contract price or Completion time must be approved by a format <br />changes are authorized at the direction of the PROJECT MANAGER: <br />Order Contract. Feld <br />Change Order within 14 days. <br />ITEM No. <br />DESCRIPTION OF CHANGES <br />$ Increase/Decrease <br />1— <br />- <br />v. <br />Net <br />f c-kc 44-5 - e._ 4.-p 1 G 2, 70« SL fr v6s i... <br />/ / C cc /a- rA - /,t-e /zf A? i2''.C. / 3AS-e 9Z-e-- <br />s'2 <br />5- - /7, /Se.• -<y o�rs c,/ , �� C�.p.1X. 54o <br />5 4 R( , 6Sto .r5 f 4 ). 5t4 L,6.5 k/ // Ac r <br />f A/ A 64 )-Co /,2 55 7 AA-5.0 d` e 4-c 4 <br />e L- 73 L tee. f f2 <, c r C- rv.A 41,, c <br />5,e c / F7 L 2x ii-t.-T Z/'C4 / ^- a <br />f /ec. <br />Z ft-t--, ee/J c -i /2z P 44-se / D <br />I ' (._ 7 5 e ft vg-5 i 3 t » / 3 <br />),70 Cs ?' � z ) = r 7, - <br />y <br />s �, ` l 7 9 <br />change in Contract price <br />$ fi 7 ¢7r <br />Net change in Contract time <br />S— <br />Days <br />This document shall become an ., ment to the Contract. All Contract provisions shall apply. <br />Approved by: / <br />Project Manager <br />1 <br />Date: <br />- „)7 -qy <br />