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COLORADO DIVISION OF <br /> RECTIVE MINERALS AND GEOLOGY <br /> 1313 Sherman St,RM 215 <br /> Denver.CO 80203-2273 <br /> (303)8663567 <br /> Ca,iy ate 9, -!6-f6 <br /> name tie oG/c 7> s+d#Pf R-0/-37a-- <br /> raddress greement# <br /> .� S� G✓� vW r v e. � / 7- o <br /> e e,vcva v , .9�L C v d G// <br /> Manager Field 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/ <br /> r/ e <P P/12,2c 7-7-e /L-o .�, J7 7 eh 3 /A'f el-Re' 71> <br /> j•�-Oc c�/-cs 7t-A L-/t.c 4,r57 v/L `x ft' � . T <br /> C c.w/-7 OPn M <br /> o� <br /> (n-C 4 I r-Te S 7--4 e 1.4 e C e <br /> a— />ry ewFTC, aF l/7 /c, <br /> /tisf,gl( .19t/1 f_AeciFrC io-;r7r � J /^- a/Li21 � <br /> // `= <br /> e -A— S�e c ��c <br /> I <br /> p e 7- -G /1 S� <br /> Net change in Agreement price o. Net change in Agreement time <br /> -t- $ 7 Days <br /> This document shall become an amendment to the Agreement. All Agreement provisions shall apply. <br /> 4pproved by: ate: <br /> Project Manager <br /> Accepted by: - Date: <br /> Contractor <br /> )rqn;W-ProjW Manager Copy- tracts 4 <br />