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III IIIIIIIIIIIII III COLORADO DIVISION OF <br />EQUIPMENT RENTAL RECORD MINERALS AND GEOLOGY <br />999 1313 Sherman St., RM 215 <br />Denver, CO 802032273 <br />(303)8663567 <br />Poject name ~ ~~. l' ii L' ' ~ eb i~ io1- <br />Contracbrname ~ ~~,,,,,~/,' Bid# p„_ ~ _L~_~ U <br />Contractoraddress •,~ PO# C_ }I~,zU <br />i~as Rey# ~-~~-co <br />Project Manager <br />Dab Begin AM End AM Begin PM End PM Regularhours Bid item number Inspector's <br />miha5 Contractor or operators signature <br />io~l~ R:oo ia~o~ ~ '~ CSC, <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />I certify that all time recorded hereon was spent productively under the terms and conditions of the contrail <br />and is proper for payment. <br />Contracbr <br />,; 7,- Project Manager <br />~ J, l.~p lo~IZ~yy <br /> <br />