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FINAL INSPECTION AND COLORADO MINED LAND <br /> CERTIFICATE OF COMPLETION RECLAMATION DIVISION <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> Project name <br /> Date (303)866-3567 <br /> Contractor name <br /> Bid# <br /> Contractor address <br /> PO# <br /> Req# <br /> Project Manager <br /> This is to certify that all work under the above Purchase Order was ready for final inspection on(date) <br /> that the work was completed in accordance with the requirements of the Purchase Order with the following exceptions: <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 signature <br /> The above exceptions were completed on (date): <br /> MLRD Project Manager <br /> 5 <br /> sheet_of <br /> I <br />