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2013-10-17_GENERAL DOCUMENTS - M2013015
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2013-10-17_GENERAL DOCUMENTS - M2013015
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Last modified
8/24/2016 5:33:34 PM
Creation date
10/24/2013 8:17:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013015
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
10/17/2013
Doc Name
Affidavit of Authority to Execute Financial Warranty Documents.
From
Mike L. Koellner, L&L Ready Mix
To
DRMS
Permit Index Doc Type
General Correspondence
Email Name
ECS
TAK
BJC
Media Type
D
Archive
No
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abhg--, <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Mike L. Koellner <br />person], in his/her capacity as owner <br />personally appeared and, being first duly sworn upon oath said: <br />0 p5, o l 5 <br />[name of authorized <br />[title of authorized person] ( "Affiant "), <br />1. This affidavit is being executed and submitted on behalf of L&L Ready Mix [name <br />of business organization], a(n) Sole Proprietor [legal form of business organization, <br />e g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />number M- 2013 -015 (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <br />Warranty Documents "). <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />Mike L. Koellner <br />Affiant's Name <br />GA <br />Signature <br />STATE OF U ra A Q ) <br />c `- ss <br />\ <br />COUNTY OF V , t `, P.C. ) <br />MY <br />The foregoing instrument was acknowledged before me this <br />by t ILQ (_ . f It-o r as U + of <br />RECENED <br />OCT 17 2013 <br />Di ri^,-,n of Reclamation, <br />t%imtnd & Safety <br />KRISTIN A. HADEEN <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID: 20134045093 <br />)MMISSION EXPIRES 09/27/2017 <br />1k k <br />I v <br />Notary`Istib R <br />My Commission Expires g Li l <br />
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