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r- <br />COLORADO DIVISION OF <br />EQUIPMENT RENTAL RE~RD • MINERALS AND GEOLOGY <br />I ~ ~ r ~~~777 ~ 1313 Sherman SL,RM 215 <br />~C~~~l~ J/ Denver, CO 80203-2273 <br />,` (303)866-3567 <br />proja<tname Dam <br />contraeoorrarre Bidx <br />Contraaoraddrass ~ POO <br /> Req ~ <br />Project Manager <br />Dam Begin AM EndAM Begin PM End PM Regular hours Bid imm number Inspecmfs <br />initials Contractor or operators sgrature <br />_2 } -- .- - _ v ~N <br /> <br />~-~ ~'~ ~~:~ ~2;~ ~'3c~ <br />~ <br />$- <br />a w-.~. <br />,.~ <br /> <br />~, - --- <br /> <br /> ~_ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />I certHy that all time recorded hereon was spent productively under the terms and conditions of the contrail <br />and is proper for payment. <br />;ontracmr Project Manager <br />