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EQUIPMENT RENTAL RECORD MINE RARALS AND <br /> DIVISION OF <br /> MINE GEOLOGY <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name <br /> CC,' �S:•'�- ,a L n • ? Date <br /> Contractor name IV f Bid# <br /> Contractor address PO# <br /> Req# <br /> Project Manager <br /> Date Begin AM End AM Begin PM End PM Regular hours Bid item number Inspector's Contractor or operators signature <br /> initials <br /> l <br /> cf <br /> i <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 />