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�i1� LO <br />STATE. OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denve ,Colorado 80203 ' C O L O R A D O <br />a t v L s I O N OF <br />Phone: (303) 866 -3567 <br />Document imaging CD/DVD RECLAMATION <br />FAX: (303) 832 -8106 MINING <br />REQUEST F OR1Ml —&— <br />SAFETY <br />Request for the DRMS document images on the following DRMS Permit tile(s): <br />03X 2� 1 - 81 3) <br />m <br />The DBMS document images can be copied to either a CD or a DVD. Please check one below and return <br />this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called. <br />.r CD c@i $5.00 per disk 1:1 DVD cc $20.00 per disk <br />RPlease check if you want a copy of the Directions for Use of CD/DVD <br />The Permit Pile document images can be viewed in the reception area of the DRiIrIS office, online at wrvw.aruning.state.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 Instructions: <br />1. Insert CD/DVD into your disk drive <br />2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br />4. Laserfiche 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 fa. <br />damages of any kind arising out of the use of data or information provided by the .DRMS, 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 merchantabilit) <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user': <br />sole risk, and the user agrees to inderrinify and hold harmless the DRMS, its officials, officers and employees from any liability <br />arising out of the use of the data/ in formation provided. <br />Customer Mailing and Contact information: <br />Print Name: %/far K- A6, <br />Company:: �:cta-4-ecpc: S� <br />Address: <br />Phone: (a <br />�W �0ffice of <br />Mined land Reclamation Denver . Grand Junction - Durango <br />DRMS use only <br />CD /DVD created and <br />tested by: <br />Date:3 <br />RECEIV0 <br />tfFce of <br />rlilrlID f Inactive ,Mines <br />I, R <br />�l�la. <br />