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M <br /> COLOPADOWINOROF. <br /> FIELD DIRECTIVE MINERALS AND GEOLOGY <br /> 1313 Sherman St,RM 215 <br /> Denver,CO 8o2o3-2273 <br /> (303)866-3567 <br /> Jed names�r � ,7-c 17 $ 12 e c rroh✓ ate - ��� <br /> Contractorname Bid# <br /> /`� C-1 T !3N✓. S�/t v[ [e �..� L P fT/4- —O— f S <br /> Contractoraddress Agreement# <br /> CC/lU � S /V GAS CG IG II�nU !J G� <br /> Project Manager S�✓� c.�itie2 Feld Directive# <br /> Use this form to authorize work changes due to changed conditions within the scope of the Agreement.Field directives resulting <br /> in increased Agreement 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 /> 97 <br /> /° rry �' / <br /> A G-o 7-pe y 5' tic •-� <br /> n �/7 / ter. Fi // c nt/1/Y /7c+� S . <br /> r t <br /> r ry <br /> / /-•r n ,-7 OV 7 _ I Y`S.•t /`�V s [3' �� c r !.� = <br /> ' <br /> 3 r�t= /+%Li r c..6 /r e <br /> /�. T c r'j'�'1� !�9 5 t !j� f c i�,tr �9 �r r. L- �'✓ T. /�/C Li <br /> 4• 1 C S/ c , 1.'i1. e v e /7 '� SC G'.�j, <br /> L w <br /> C' <br /> 5•t ,rr /c s y�-t,.. %7/-)NU!"i1c r,/+c it re <br /> 5S /,P c_� SCE C � t/" <br /> c-el, e <br /> Net change in Agreement price _ yc Net change in Agreement time <br /> $ ---- Days <br /> This document shall become an amgpdmmpb the Agreement. All Agreement provisions shall apply. <br /> t ,approved by: ate: <br /> Project Manager <br /> Accepted by: Date: <br /> Contractor <br /> ngi rogeG Manager tractor 4 <br />