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iii iiiiiiiiiiiu iii <br />ggg COLORADO MINED LAND <br />FIELD DIRECTIVE RECLAMATON DIVISION <br />1313 Sherman St., RM 215 <br />Darner, CO 80203-2273 <br />(303) 866-3567 <br />Project name E C Date 'O y <br />Contractor name n, -(t„ _,.,n}~~~, <br />K-C.C-X~/T ,wl, &di l~C~l <br />u <br />.f <br />l <br />Contractor address O' pp~ e <br />_ <br />~ <br />S o~ ReQ x <br />Project Manager ~ Feld Directive >< <br />Use this form to authorize work chang s 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 />3~ ~ fica~~~ ~ .~a1tr, av, .~ie.Qd di~ue ~ I ~ 0 <br /> ~d~ked 1s~19Q~~ ; U <br /> - ~~ ~,o,~es ~f(,~,e ,Q,mlram.~.-ir~e,~~ ~ f~1Ccc~,i~, <br />Ut <br /> ~m ~,o,+~ a. ~ <br /> - ~ I-le,r 1 c~proxl '~~ '' ~o art <br />~ / <br /> 1.,11 U~ <br />~~~ <br /> -11~.~ ~ ~ r~.p „Qre s <br /> 12~p - ~~ ~~5 ~~ -gs.-~x.e~P- C~~ <br /> <br /> C~ 11~ top fira,~,~-hen cures a~ ~ `+~ ~e~- <br /> c~t ~ muc~e Cree,~,lva.r~ii~un ~ . ~naQ <br /> Jae cl~ ~d ~c~ <br /> ~a~ <br /> - cx~ ~,~on <br />Net change in Contract price <br />$ ~ Net change in Contract time <br />Days <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by: - <br />Project Manager Date: <br />a ~ <br />Accepted bY: r <br />Contractor Date: <br />- ~. `~ S <br /> <br />