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FINAL INSPECTION AND COLORADO DIVISION OF <br /> MIAND <br /> CERTIFICATE OF COMPLETION 133seLrmanSt.,RM 215 GEOLOGY <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name ate <br /> Contractor name I, J oBid# <br /> (fir n. CO��ST/LvG T� ni IT <br /> Contractor address PO# <br /> G a o c ff c c fie._ <br /> G 2� C C) Sr �,ti5' Req# <br /> Project Manager <br /> This is to certify that all work under the above Purchase Order was ready for final inspection on (dta)_ 9—�d -qd <br /> that the work was completed in accordance with the requirements of the Purchase Order with the following exceptions: <br /> (attach additional pages,if required) <br /> and it is recommended that , upon completion of the exceptions listed above,the work under this Purchase Order be accepted. <br /> MLRD Project Manager signature <br /> The above exceptions were completed on(dte): <br /> MLRD Project Manager <br />