REP48210

FINAL INSPISTION & CERTIFICATAF COMPLETION
MINED LAND RECLAMATION DIVISION
INACTIVE MINE RECLAMATION PROGRAM
1313 Sherman Street, Room 423
Denver, CO 80203
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PURCHASE ORDER NO. C'6SS9i 3
DATE OF INSPECTION: /y�3o
This is to certify that hco rJ
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had all work under the above Purchase Order No. ready for final inspection on
oc ( 3C7 /5 D?i that the work was completed in accordance with the
ate
requirements of the Purchase Order with the following exceptions:
ttacn additional pages, it reauirea)
and it is recommended that, upon completion of the exceptions listed above, the
work under this Purchase Order be accepted.
/ ; �
— T(nspector (Engineer)
JMLRU Project Manager)
The above exceptions were completed on:
ate)
Name:
Title: ?A05e:ci IK0 _
Sheet of