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FINAL INSPECTION AND COLORADO DIVISION OF <br /> MINERALS AND GEOLOGY <br /> CERTIFICATE OF COMPLETION 1313 Sherman St,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> jectname _ Date <br /> Contractor name Bid# 'r <br /> Contractoraddress Agreement# <br /> Project Manager <br /> t z e > -e- <br /> This is to certify that all work under the above Agreement was ready for final inspection on(date) ;)-c/ — G' ;that the <br /> work was completed in accordance with the requirements of the Agreement with the following exceptions: <br /> (attach additional pages,if required) <br /> and it is recommended that , upon co m I n of the exceptions listed above,the work under this Agreement be accepted. <br /> DMG Project Manager signature The above exceptions were completed on(data): <br /> DMG Project Manager <br /> 'r C <br /> 5 sheet ! of ! <br />