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III I II I II I II IIII III COLORADO MINED LAND <br />FIELD DIRECTIVE RECLAMATION DIVISION <br />1313 Sherman St., RM 215 <br />Denver, CO 802032273 <br />(303) 8663567 <br />Project name c . -- na.~ Pj ~ - fi~ ~P Date ll <br />Contractor name <br />S Bid M <br />+~N-~~c.-Minh <br />Contractor address D ~^u / PO 7f e_ / <br />l/.X.l' ~ 8 a ~ ~ Rte'" ~Pk~ -y-Gms <br />Project Manager Fleld DirecWe i <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 />S~}, OfPV~x~ P.4- <br /> ~ h,a_.Q_-{ ~cAz~ rr~{enii9 .,P~~e~ ~- Vie. <br />` <br />" ~ (~ <br /> 7 <br />I-+.e d~ e,p n°a~1 rn <br />Qn,~h~r P i f l.uZ-Q Q ~~d a nst- <br />~0 <br />ir <br />~ ~~ <br />t <br />-~ <br />` <br /> e. <br />c <br />. <br />~ <br />- <br />YY~-t ~ <br />~lc~-~h of <br /> ,~,., -[Itin On Pharr P i-F 4~C~i6i c~' n r~ -(n tke. ~ cQ <br /> ~catio'I~• -fl,e.~ ceet-e .m~-tcan~ `~ .~ ~- . <br />,~, -tom c~-„~ei,.oi aY, -to c~ Z, ~ C ~~- <br />' <br /> Ti~e hn~~ . <br />c.~Cfi ll I n~ m,t..c~ -e.~cf erY~ -tu ~ f~~ of <br />Q c~-1-~ ~~~ .~d ~ (~~ ^~ <br /> ~n ~.-Q- a ;1 ~-~-5. ~r~a .,Q,r ~~c~ un~-, <br /> .~ Si~~l ~ er>,o U~-~'/^'~ (~c1 j' n Task ~O , N o E'L1 <br /> t~~~ ~ gt ~ ~v,vCY~~+vC¢ D~~ ~ ~ ~' ~ <br /> ~(~. <br />Net change in Contract price $ D Net change in Contrail Gma ~ y <br />Da s <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by: /~ ~ <br />~`J ~ ,Project Manager Data,/ <br />!~I <br />Accepted by: <br />r Date: <br />Contractor - <br />vrigionao-rrolea marwper wpy~coneacror 4 <br />