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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 /> Date <br /> Contractor name Bid# <br /> Contractor address PO# <br /> Req# <br /> Project Manager -- <br /> S / 2vC L zs✓� e'2 <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 /> ;ontractor _ Project Manager <br />