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COLORADO MINED LAND <br /> FIELD DIRECTIVE RECLAMATION DIVISION <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name n Date <br /> !e-a /L`� .f Bid e _ 2 - `7 7 <br /> Contractor name # <br /> titer es �� 5��-,� s O TA - 5, - 4-'a <br /> Contractor address PO# <br /> i? 3v l-t��rn.s�.v2 i 3L�2 <br /> ,fi /--i e c a C v 11,/R47v ZC" Req# <br /> Project Manager S 7-:�--C Az <br /> e ti --e12 Feld 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 /> 1 (3v,.,pc Q t%(13 e& x7A-fl?r ,e C6F,7) S Gt� !! /S� /te/7 <br /> Cr n.t y ry �. c �-��e/Z- s T r v d u r' 7z? <br /> /7 r n t /fit T 5 &7 A )c r /`� �/`7 <br /> i1 c /i_-/f c TZ" t �/I t g- <br /> �s( <br /> i � Uucl <br /> c c ( }s�� Go�� M n. .s s 4 c C' ;� 41(`10"-/A c = 3 <br /> Z 2P- 7-1,c c R 4 4-S ee l n' 4 c /7 e;-C'-e. Tv /S <br /> 112 t.*y/c 2 -eP ! ( G&-- ty l6,1t s 15e lcow <br /> r"L. c /a✓ w i�t /3 /`1 r/Z t.q R S 772`,." <br /> t/t Tics(i 3. 7 1 s C— 5 <br /> 137 <br /> 3 7 A n �^- C /t t-7'S e- o ¢ A--C /L S. <br /> tv ` <br /> Net change in Contract price o` Net change in Contract time <br /> (�� c /z r-a s c $ j 2 e' Days <br /> This document shall become an amendment to the Contract. All Contract provisions shall apply. <br /> Approved by: Date: <br /> Project Manager a - <br /> Accepted by: \� j <br /> �; `f i, Date <br />