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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 Date <br /> 7 -Ole <br /> - g <br /> Contractor name il Bid# <br /> Contractor address *> C 3 PO# <br /> 9 <br /> c` / Req# <br /> Project Manager Field Directive# <br /> r e i- e-t,iic,el t- �--- <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 /> 7-,y S tr Ae2 6/ /?-c yr se P <br /> SG G e'9,Ie SGf-�,f 6 e 19 e- lL r e/I . -a/�S 'I e- <br /> S^-45 T c 7- -r/M /31e- C -1- f 'o <br /> -'? p <br /> /}-e <br /> Net change in Contract price Net change in Contract time <br /> $ � O Days <br /> This document shall become an amendment to the Contract. All Contract provisions shall apply. <br /> Approved by: Date <br /> Project Manager <br /> Accepted by: <br /> 6 Date: <br /> Contractor <br /> nglona-Pro!ect n er onv-,o tractor <br />