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gimi <br />lig <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 275 <br />OA D t <br />Denver, Colorado 80203 DIVISION O L f <br />Phone: (303) 866 -3567 Document Imaging CD/DVD RECLAMATION <br />FAX- (303) 83243106 MINING <br />REQUEST FORNI —&— <br />SAF ETY <br />Request for the DRMS document images on the following DRMS Permit file(s): <br />4) <br />The DRMS document images can be copied to either a CD or a DVD. Please check one below and retum <br />this for with your payment to DBMS. If a CD is requested and the pernut is too large for a CD, you will be called. <br />CD @ $5.00 per disk DVD crl $20.00 per disk <br />F] Please check if you want a copy of the Directions for Use of CD /DVD <br />The Permit File document images can be viewed in the reception area of the DRIMS office, online at www.lrunin .sg •tate.co.us, or <br />they can be purchased on a CD or DVD. The CD /DVD purchase cost covers the time and labor of making the CD /DVD. <br />Basic Lnstnfctions: <br />I . Insert CD/DVD into your disk drive <br />1 Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br />4. Lasert7che will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br />DRMS cannot provide computer related support. <br />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user fo, <br />damages of any kind arising out of the use of data or information provided by the DRIVIS, including the installation of the data of <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br />without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of naerchantabilit) <br />and fitness for a particular purpose. Data or information provided by the DBMS shall be used and relied upon only at the user': <br />sole risk, and the user agrees to inderrinify and hold harmless the DR-MS, its officials, officers and employees front any liability <br />arising out of the use of the data/information provided. <br />Customer Mailing and Contact Information: <br />Print Name: Marls A . <br />Company: : Y kA 5" <br />Address: ?O -� 1523 <br />Lorlc max -fc", Cauo,�Qo 80602 <br />Phone: <br />Signature: <br />DIRMS use only <br />CDIDVD created and <br />tested by: <br />�tiv Goy <br />Date:3 t7( <br />RECEIVED <br />Office of Office of <br />brined land Reclamation Denver - Grand junction < Durango active and Inactive Mines <br />MAIR t` b , ? .: <br />DIVISION OF rT(- ' ` <br />MINING Aiiij <br />