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EQUIPMENT RENTAL RECORD COLORADO DIVISION OF <br /> MINERALS AND GEOLOGY <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name <br /> 1-7t'� T/� �/� /P �- L `?Ge"!i Date ��- <br /> Contractorname I / /, _ Bid <br /> .�. - _ 4 4 t <br /> Contractor address ,— PO# <br /> G G/� ='r�G <br /> �/ S �f Re9# <br /> Project Manager <br /> l & <br /> Date Begin AM End AM Begin PM End PM Regularhours Bid item number Inspector's Contractor or operators signature <br /> initials <br /> /-7 <br /> s. 3, S� z <br /> l� 3 7' 3, <br /> ff <br /> All, <br /> S r ? S-: 6;% <br /> x <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 /> contractor Project Manager <br />