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2013-12-10_REVISION - M1992045 (6)
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2013-12-10_REVISION - M1992045 (6)
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Last modified
6/16/2021 2:25:55 PM
Creation date
12/11/2013 4:47:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992045
IBM Index Class Name
REVISION
Doc Date
12/10/2013
Doc Name
Incomplete Application SO03
From
DRMS
To
Gold Basin Mine, LLC
Type & Sequence
SO3
Email Name
DMC
GRM
BJC
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Laurens Leffingwell [name of authorized <br />person], in his/her capacity as . Member [title of authorized person] ( "Affiant"), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of Gold Basin Mine, LLC [name <br />of business organization], a(u) limited liability company [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- 1992 -045 (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 />�=A�e-xxs W -\,A\yaW-tA- <br />STATE OF <br />ss.: <br />COUNTY OF <br />Lakes j <br />The foregoing instrument was admowledged before me this � day of f o� <br />by <br />as <br />OFFICIAL SEAL <br />CATHERINE J LYNE <br />NOTARY PUBLIC - STATE OF ILLtl�ls <br />MY COMMISSION EXPIRES 06127 +15 <br />t) <br />_ of <br />Notary Public <br />cat <br />My Commission Expires <br />
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