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HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9122305PROJECT TITLE: CONTRACTOR: PROJECT NUMBER: CHANGE ORDER NO. ,moo/ �dc9�rK d 4,0PIt'< PURCHASE ORDER NO.: i12. _�Z 3 aS D�FySCRIPTIONG��©1?I 1��7`c /, �' 4 , is d 1. Reason for Change: G L. <', 2. Description of Changes d r y o r Pq 7�c Cc9o✓ /< Q(j 3, Change in Contract Cost % ce 74( 4. Change in Contract Time: ORIGINAL CONTRACT COST $ 12 3SDoa TOTAL APPROVED CHANGE ORDERS TOTAL PENDING CHANGE ORDERS � TOTAL THIS CHANGE ORDER 3 TOTAL % ORIGINAL CONTRACT, THIS C.O.: % /� /l TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S:3]�P/o ADJUSTED CONTRACT COST $ (Assuming all change orders approved) Agreed and accepted as of ACCEPTED BY: DATE: S Ve or: ACCEPTED BY:DATES = 22 20 l Z Project Manager REVIEWED BY: Title: DATE: APPROVED BY: X 5 s. i DATE: Title: APPROVED BY: DATE: Purchasing Agent over $60,000 cc: Purchasing —7�>0lk� % i IZ 2-3 QlsS_