2014-02-05_REVISION - M1985022 ‎(5)‎

• Permit No: M1985022
• IBM Index Class Name: REVISION
• Doc Date: 2/5/2014
• Doc Name: Application for transfer of mineral permit and succession operators SO02
• From: Buffalo Peaks Mining Co. LLC
• To: DRMS
• Type & Sequence: SO2
• Email Name: TAK
• Media Type: D
• Archive: No

SIGNED, SEALED AND DATED this day of
STATE OF
COUNTY OF
by
Operator
By:
Title:
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
ss.:
The foregoing instrument was acknowledged before me this
as
day of
of
Notary Public
My Commission Expires
STATE OF COLORADO
DEPARTMENT OF NATURAL RESOURCES
MINED LAND RECLAMATION BOARD
DIVISION OF RECLAMATION, MINING AND SAFETY
Us
Division Director
-13-
Date Executed:
(SEAL)
Rev. 05/12