HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 2293503/16/2005 WED 09:28 FAX 970 221 6586 CITY OF FT COLLINS CLRS 14001/001
MAR-16-2005 07:14 FROM: NORTH STAR DESIGN 9706e61188 T0:2216586
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CHANGB ORDER NO.
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CONTRACTOR: Lite-
PROJECT NUM$L;
FMCBA.SE ORDER 3�
I.- Reason For Change: f UllY°ft ( 4.WA-
2. Descriptioa of Change_ �s���:.► -VW u y =W%j4o;r
J• Chi to Conrwt Cost: Azoo
4. Change in co== Tnme:
ORIGMAL CONTRACT COST
TOTAY. APPROVED CEANGL ORDERS
TOTAL PE jKCj CHANQB ORDII=
TOTAL THIS CH"GE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS C-O.:
TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S:
AD-TUSTED CON EMACT COST
ACCEPTED BY: • , DATE:
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REV�PGVBD BY• —_.�� DATE;
. Title:
APPROVED By: DATE:
mile:
APPROVED
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Conormr raEnu
PxoJeat File P=hmim
$300000
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