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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 / Date <br /> CoT G�. e�ivJiL 4/Zz4— -c L�,►�f T�vu <br /> Contractor name Bid# <br /> Contractor address PO# <br /> 30 -frG-G w <br /> /7 PS CoC�/1 G 13Z3 <br /> Project Manager Req# <br /> Date Begin AM End AM Begin PM End PM Regularhours Bid item number Inspector's Contractor or operators signature <br /> y initials <br /> 30 1 R C <br /> I <br /> i <br /> 9-iJ'- 7 <br /> /0 jo 30 5- 6—P <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 /> ,ontractor Project Manager <br /> A'. <br />