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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 /> v�1 ( �/�> u� 1T 2,�/a Date <br /> Contractor name Bid# <br /> Contractor address PO# <br /> � Ci t"Ire7'—T L-//2 C /e- <br /> v Req# <br /> Project Manager — r� A, -e 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 $ IncreasedQeeFease- <br /> C- 1cCr'S�' 7v�5�,. L- /�nc•7 C' Xt' �ri� . <br /> 7TO Lam''s L-•�it1-e/�i <br /> s C ll t � e <br /> / /t. P --?/L <br /> S /Lj 1-1--C 4,,/ // /3 is U c-2 D C) <br /> C � .4i hyri-� <br /> Net change in Contract price f C= Net change in Contract time <br /> $ 2 a v Days <br /> This document shall become an amendm to the Contract. All Contract provisions shall apply. <br /> Approved by: Date: <br /> Project Manager 8 -'%' 'C'Accepted b <br /> (�nn}ro n�r\r <br />