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<br />EQUIPMENT RENTAL REC D COLORADO DIVISION OF <br />MINERALS AND GEOLOGY <br />• 1313 Sherman SL, RM 215 <br />/ Denver, CO 80203-2273 <br />6 :Z 7 ' /~ F a +-z" ~i ibt 0 V C 7^ (303) 866-3567 <br />Project name ale <br />Conhecbrname Bid# <br />ContraeOOraddress ~ PO# <br /> Req # <br />PmjaelManeger <br />Oaoa Begin AM End AM Begin PM. End PM Regular hours Bid item number nspectors <br />imGals Contractor oroperators signature <br />7u,ve <br />q~yy <br />7'0o <br />i,Z:oo <br />/Z=3v <br />/f:3o <br />9 <br />~~ <br />~"tJNG <br />,ol~,y <br />~•~~ <br />:a:~~ <br />~,~:30 <br />~:.~o <br />~o <br />~~ <br /> <br />G-~`~ ~~~~ j,Z;ov ~;oo y;'o~ ~z <br />~ <br />P <br /> <br />~_~s <br />~~~ <br />~a-~ <br />~~~ <br />~ ~~ <br />i~ ~. <br />~~ <br />~ ~. <br /> <br />,, <br /> <br /> <br />6-21 (,: 3v /02~~ 12:3 c};3o ~Z ~'/ . <br />(0-2~, g'm~ 1,2:or~ ~'.3~ S~ 3CJ 9 ~,y~..o~ <br />~O-2~ G;ao lz;co 1,2;0 ~~3a // ~'C7 ~~~ND'~ <br /> I <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 />:nntractor Project Manager . <br /> <br />