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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... <br /> � Date <br /> v ti t //2t�e Ge� j7c� ��� Te c �` e?- <br /> Contractor name <br /> t �� S Bid# <br /> •q?�s' � c �rzGw �Tjt —'Y — ¢vv <br /> Contractor address PO# <br /> Project Manager <br /> Field Directive#life <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 /> !n.- OR"De/t 7z/ 1 -ev-e ?(iiees(/-7 /„ T <br /> S-< LcL. c,((e c re d 1 $c e-d jff-xc,"r 74-- P c T <br /> R S t-e /L G-L /j i. cc,!>e S c,.-J e! h Ccl(e C r'-t ci� v�✓ <br /> ppp5,l t e- N d/L/fit Tv /' C G r'tc r7�J-/{-- /S t P <br /> 11",?-L -e f S f F e 7 G..mow .-�•tom e G[0 <br /> Cc,/(e c 1-v C` 7- <br /> 72, s K 2 S el- l-�2 <br /> /L-e c e d /�a it 1`lG ti . Cr1 1 fe T <br /> s � <br /> /I <br /> C�7 <br /> � ed <br /> A, I'll"12!C e C/1/ dl <br /> Net change in Contract price Net change in Contract time <br /> $ Days <br /> This document shall become an amendment to the Contract. All Contract provisions shall apply. <br /> Approved by: w- Date- <br /> Project Manager <br /> Accepted by: 5 ��' Date- <br />