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2014-03-25_GENERAL DOCUMENTS - M2013080
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2014-03-25_GENERAL DOCUMENTS - M2013080
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Last modified
8/24/2016 5:41:21 PM
Creation date
3/27/2014 1:17:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013080
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
3/25/2014
Doc Name
Affidavit of authority to execute financial warranty documents
From
Pine Bluffs Gravel & Excavating
To
DRMS
Email Name
TAK
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned - rte, IL c [name of authorized <br />person], in his/her capacity as �; , c_ e r`�r C <-��c , `� [title of aufftorized 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 ID r t a,� e <br />of business organization], a(n) C Li ht',- - [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 lyl - A&Il'S- 0'� (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 />STATE OF <br />ss <br />COUNTY OF <br />Pv EL & F'�•. <br />= : OORPORATE <br />co <br />��'�.,wl'OMING ���• <br />The foregoing instrument was acknowledged before me this 1 day of a114, <br />by�f , �Y�CL 1L� rv��s� as � ; C S VPr'f� -,; Cj fiy,�N of 7��C 'V 1S\ \ -� ��[Cx r_)c \ <br />DEBORAH 1.. MORGAN - NOTARY PUBLIC Notary Public `i z,y <br />COUNTY OF ° STATE OF <br />LARAMIE `WYOMING My Commission Expires <br />RECEIVED <br />MAR 2 5 2014 <br />Division of Reclamation <br />Mining & Safety <br />
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