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i <br /> - i <br /> 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 2 <br /> �v/�� / ✓ do Date <br /> Contractor name Bid# <br /> contractor address PO# <br /> a w C- 0 6 <br /> B�/ <br /> Req# <br /> Project Manager <br /> Date Begin AM End AM Begin PM End PM Regularhours Biditemnumber Inspector's Contractor ro rators signature <br /> initials <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 /> ,on tractor Project Manager ----.- <br />