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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 21205 (2)OCT-26-2004 TUE 07:02 AN CFO ENG, FAX NO. 9702216378 P. 03 Change Order Form F'�afjtucPl761, 1}.*f+nrt,tuut A wuw.4w�,.v., -r•Iw- ...{...i•'N�ar r..•y.++..nunvxwoW fwipCjv--I;'f fi'I'tr:' wostFlit.,:haztl7�Qrt;2t Ci.f,ci rrrioji,:P'.n NUIVIIII ft: 305220324 0()NTRAGTORT G.L. I lofr CHANGE. WWR NI,IMf3E R; 5 — In farr•isu,a,ns3 tT rs�clt karTr,r; 9(ii7w ,i'©�(? r ca5 isj>aP is 11551 �c�na pOr "3 {1 ril�Uvnn�3: 1. p t rt;.4an far c•P,;,nQA . 2. r',r.•;;crEg,tson of chango. . C Y:1is�,Ics in cewltiv,r[ 4. Chnnco ir, contract lima. 1it.2, &r.:�, AV:"ohod t,heol for dl-,Imil. 9 2M00.00 4. 1 lja�ra v-1ilt h : no (:h;:Inpe In cuttracf timo. •.... ..... .m.,.,..r..,..w.Mu..«.m.•t.+.{knrou,.ux�u.a-..,�.n—r.ai.sww.n.,.+•r+M�+w on ,W,iAI. r, ON IT ACT COST $232.550.57 T()TAI, e VF'I` jV'fin NiAN(;E 0111t)E R w $015.61 TUTAL 1'11='r4o lmc.;4IANGP OW)FT-O? $8,825.12 TOTA1.71Iif' CI (l.NG {artf)f;Ft ---I 26,h00.00 I'01-AL % Or THIS CI IANt1C ORDI::ft 11,35% r t7I'AI,- ("-0, 0% OF C RIOINAP, (,()N'i rti`af'T 1$.5di'n Af))LI•'.iUI) CONTOAGI COST $7.$t3,691.30 (�}"u'S1.9111irIfJ � III C.I'f'krY��i; C7r4�Ii'f$ �aj71'?I'C`l Cda} wrr,�..w.,v,oew,w,.i+. ...n ,d..,.�e wrs . ..�w,taw,�w.....•.:a.:..,..,.w^w�w...,«,..rw+,.,.�4....,.:,,.w..,..........`....�.w....w«..w.—...rw+rw.-r-.--,......w.rr..:..•.�...... _'L y9�r",','",� A:IQF;hr"I'I is BY: �: + sleR� '! '_..,r! /.i � 17 mod.:-- ..�!<< ;1 — _.__ DATE ( t;ur1 rtac;lor' f%cr its c 1t Ikvd G _"•'_� ACC;IcP'IE::r.) CSY:-- • ' �(C�roaj4e;t Md1 >afl4'r)r• _.�_..__-_.-_____._.....----.._-•—_-__._—..._�.._QA'1"E:..���� �._.__.. /�([)kal�•-�rfment I i(s,arJ) r: APPI:1f)VISf1 WY:......_ ._..•_ ........ _._..w...,.. (r5r.r (Ins;inq A.q(vit over $30,000) u; C6rM llla[ ll hw lr0+,m,1 t)AT1 p:srg7ater;rlp:1 (acl:aa'aroa,'k,r • 233 b{03 wAl North i,r,iley,e i1VC�0t�e • P-0, I30't 580 , 1'' 4 CoMas, CA 86 224580 (970) OCT-26-2004 TUE 07 ; 03 AM CFC ENG. FAX NO. 9702216378 P. 04 V;i'm 110-olt49l:.M, 1recisc311C IY'Ihjk1"iiYCtkkClkifi 1'rojrcl (:.I,. Ildrld Coplll+aY1�' - Did Nkr. 5R51 Clw!q%'.dlJilsi No S O'n, Ildio/•':i711 :1 M1'L;p al'+filpl ipl A+Upl t+r utli.lil,p;uil p,tlHll`J1(j 5b51G rP•+"ll.!+I la riL'lI iww proper di"mimi;.} 10 OT JILil. ifllt 1VN!I.1IJX4- d 10 iW Si"" A I,ry!.Ir,(tr llb". gn,+pUIY tll a`hll!t'i nl "I'il ")"Ito c4711100 Y, f 9i nrga' h ('r++A A A Aic gkill 1: n llctligl.nni,+H+:P.Ives.tcitldR,!el,r.,�}IA�(d1n111 'i'I)I':'tL t'll•�:ryi ii'liV t,�l>MlkrM1i'I ANIFWN'1' i. I:Irnn•; c I+,t d'ragA;isl l"i:ue jl 'iIA;C+.I'�i1i (`7,-0Oa 4'IR ldltll'.d�Y (i1Mu' (aGy hail tII,tCusl 'I'DulCIA; i 26,40n po 101191,20011