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^n ...••999 -_ <br />COLORADO MINED LAND <br />CHANGE ORDER RECIaManoNDlvlsroN <br />1313 Sherman St, RM 215 <br />Darner, CO 802032273 <br />(303) 8663567 <br />Project name ~ t~ Date j~ 4 <br />Contractor name ~ Bid # ~ -~ C f'I11.1~3 - <br />Contractoraddress O Q,~x <br />IIJJVV POM C _~OI <br />~ 12 R~ ~ ~ -y-oos <br />Project Manager Change Order 0 n <br />•c/ <br />The lollawing changes are hereby made a Purchase Order: (Indude the costtime adjustment for each change) <br />X0.5 ~ b i t d' raa n - ures~- ~ .~,n <br />.QQ,~ ~u n0.~2. Q~ <br />C~nS-hu (~,-~ -1~.~ ~ bf -f 1r.A. ~ lt,~,k ~1. l- - <br />tl~eS~ GUh0. <br />Justifiratlon !~ ~ L /~ ~ ~,/~ ,~ ^ /' ~t ' <br />~ Ana 'OSI~ <br />Ors ~>z fU <br />rho <br /> <br />Change to purchase order price: <br />Original Purchase Order Price: ~~~ J ~~ <br />Current Purchase Order Price adjusted by previous Change Orders: / p ~J ~~ <br />The Purchase Order Price due to this Change Order will be increased/decreased by: ~ D <br />The new Purchase Order Price including this Change Order will be: ~ ~~ ~ J 9 ~ <br />Change to purchase order time: <br />The Purchase Order time will be incr~eased/decreased by: i / _/ <br />The date for completion of all work will be: ~~UP~fYt ~' <br />~9 /9~ <br />Recommended /~ <br />( ~ ,MLRD Project Manager <br />~J / <br />Accepted by: <br />Contractor <br />Approved by: <br />C <br />MLRD Program Supervisor <br />2 <br />