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FINAL INSPECTION AND
<br /> CERTIFICATE OF COMPLETION COLORADO DIVISION OF
<br /> RECLAMATION,MINING AND SAFETY
<br /> 1313 Sherman St.,Rm.215
<br /> Denver,CO 80203-2273
<br /> (303)866-3567
<br /> Project Name Date
<br /> Leland Lode#2 Bond Forfeiture Project 7/13/2010
<br /> Contractor Name Bid#
<br /> Berry Trucking and Excavating, Inc. Direct Bill
<br /> Contractor Address Project#
<br /> 8561 S.Ammons St. P-1982-049
<br /> PO or Contract#
<br /> Littleton,CO 80128
<br /> Project Manager
<br /> Erica S.Crosby
<br /> This is to certify that all work under the above Agreement was ready for final inspection on (date)6/25/2010 ;that the
<br /> work was completed in accordance with the requirements of the agreement with the following exceptions:
<br /> NO EXCEPTIONS
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<br /> (attach additional pages, if required)
<br /> and • is recommen d that, upon completion of the exceptions listed above,the work under this Agreement be accepted.
<br /> D- Project Man er i ature The above exceptions were completed on (date):
<br /> �� DRMS Project Manager
<br /> 12/02 Sht:et of
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