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COLORADO <br /> FINAL INSPECTION AND RECLAMATI MINED LAND <br /> RECLAMON DIVISION <br /> CERTIFICATE OF COMPLETION 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name r--V�� � Date Ai,�Y,�wivL P <br /> Contractor name I(1(�LK1✓ �(ZtGK f([Z= i� — 2-Q Bid# A/J -(14(p—e5 <br /> Contractor address 14 I G,p 32� PO# C e q <br /> S t L,'T' Lam . Ob uo--'5 2 Req# f <br /> Project Manager (9 K4 <br /> M,/w <br /> This is to certify that all work under the above Purchase Order was ready for final inspection on (date) !fN,3 1 � <br /> that the work was completed in accordance with the requirements of the Purchase Order with the followi g exc ptions: <br /> O �ii,� � c�J� f�-items <br /> (attach additional pages,if required) <br /> and it is recommended that , upon completion of the exceptions listed above,the work under this Purchase Order be accepted. <br /> MLRD Project Manager signna re The above exceptions were completed o (date): <br /> 1 MLRD Project Mana er <br /> 5 sheet—of <br />