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<br />II I III I II I IIIIII III REC AMAiION DIVISION
<br />FIELD DIRECTIVE
<br />1313 Sherman St., RM 215
<br />Denver, CO 80203-2273
<br />(3()3) 8G(r3567
<br />Project name ~ ~,1 I ~~ q ~ ~
<br />"l Date I ~ I L
<br />Contractor name It~r, ~' V
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<br />Contractor address PO# /i_ -7_'~2 ,
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<br />Project Manager Field DirecGVe #
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<br />Use this form to authorize work anges 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
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<br />Net change in Contract price
<br />$ ~ Net change in Contract trme
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<br />This document shall become an amendment to the Contract. All Contract provisions shall apply.
<br />Approved by:
<br />Project Manager Date:
<br />~~ I Z 9
<br />Accepted by: Date:
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<br />,Contractor
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