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2014-03-28_GENERAL DOCUMENTS - M2013080
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2014-03-28_GENERAL DOCUMENTS - M2013080
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Last modified
8/24/2016 5:41:28 PM
Creation date
3/27/2014 1:17:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013080
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
3/28/2014
Doc Name
Affidavit of authority to execute financial warranty documents
From
Pine Bluffs Gravel & Excavating, Inc.
To
DRMS
Email Name
TAK
Media Type
D
Archive
No
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2014 -03 -26 03:14 3038328106 3038328106 >> 3072453748 P 3/3 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned 12 �M -K M?-6r l <br />(name of authorized <br />person), in hisllter capacity is PQ (;3•t D C1,K" [title of authorized person) C Afftann, <br />Personally appeared arid, being first duly sworn upon oath said: <br />I. This affidavit is being executed and submitted on behalf of Pj N i; -&W 444vr t. 4- �A ✓4 rlj cl/ j <br />of business nname <br />organization), _ Gd �P (legal form of business organization, <br />e-g cporation, 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 w execute certain financial warranty documents associated with file <br />number M fe 27 (E)RMS 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 Wammnty 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. Afrwnt will inform the Division of Reclamation Mining end Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warmry Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />r' L r <br />Affiant- s NEW- <br />-7 - 7 <br />STATE OF <br />COUNTY OF SS: <br />The foregoing tmwmaq wu act twwledged before roe this -]_ day of 0—j r C 1r �[11 y . <br />by [t, IL u_ �rc°S�rLc.�\ of i� rte. ��h��C= ,(' .n o, <br />} <br />E L. MORGAN - NOTARY PUBLIC Notary Public ► Y-, , "-0,4c, STATE OF <br />VYYOMING My Commissiou Evims snlon { - i` <br />
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