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EDUIPMENT RENTAL RE RD III IIIIIIIIIIIII III MNERALS ANIDG OLOGY <br />1313 Sherman St., RM 275 <br />i Denver, CO 80203-2273 <br />(303) 8663567 <br />Project name ate <br />Contractor name Bid # <br />Contractoraddress PO # <br /> Req# <br />Project Manager <br />Date Begin AM End AM Begin PM End PM Regularhours Bid item number inspector's <br />inmals Contractor oroperators signature <br /> G <br /> <br /> - -. <br />~ <br />~~ ~ ~L <br /> <br />-ra <br />G t1Rs <br />p" - , <br /> <br />A, ~ <br />1 r7 v fli•% <br /> . :s I CH~i~s +,~ <br /> <br /> <br /> Fl bbN' <br /> .:J I ~. ~ C r,~.~tve774 7o j O2S R~Ym -- ~ q. s81 <br />c.~,z <br /> <br /> <br /> <br /> <br />I certify that all time recorded hereon was spent productively under the terms and conditions of the contract <br />and is proper for payment. <br />:ontractor Project Manager . <br /> <br /> <br />~s <br />>~ <br />