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f.`,. <br /> COLORADO MWEb LAND <br /> FIELD DIRECTIVE RECLAMATION D1vlsloN <br /> _ 1313 Shertnan.St,RM 215 <br /> r Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name Cv ^� -�dvSt �/Lc,a c�L�wv�T-rld�✓ Date /O - L <br /> Contractor name <br /> . --_V�� � Bid A — 7 —3 47 <br /> Contractor address PO# <br /> 3 ! f 3 <br /> Del d — C�(G 4v7� 8(323 Req# <br /> Project Manager 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 $ Increase/Decrease <br /> 55 , tic' c. , , <br /> y Li % C f � 7 r rr!-t 5 <br /> 2, [ off• ='z,< o c n t.e7�� <br /> vjC�iy eyc T. /,ti (5N1'7 7-4/7 $ <br /> C A 3 07 trrs a— 7-7715 <br /> C c n S Tfl v t b, . <br /> ice-C { 7 Vc Rr*.- - MG S ' G 17 tr C.,,, CG/ rt Z / 14, <br /> t Gt Ce5S: fir,-, S k��� <br /> 7�e Sow -17 ra v+c I <br /> p� Td P>f,7 971,1-6i f C/7 e 3 7 r � <br /> l3 r ^ <br /> r Q <br /> P- r/ <br /> Net change in Contract price Net change in Contract time <br /> $ �------- r Days <br /> This document shall become an amen4ment to the Contract.All Contract provisions shall apply. <br /> Approved by: Date: <br /> Project Manager ,g 7 <br /> Accepted by: r //d Date <br />