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2014-04-17_REPORT - M1977004
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2014-04-17_REPORT - M1977004
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Entry Properties
Last modified
8/20/2019 11:00:06 AM
Creation date
4/21/2014 10:49:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977004
IBM Index Class Name
Report
Doc Date
4/17/2014
Doc Name
Annual Fee/Report/Map
From
Homestake Mining Company
To
DRMS
Email Name
RCO
Media Type
D
Archive
No
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CALIF-ORNMA ALL-PURPOSE ACKNOWLEDGMENT <br />Slate of California <br />County of CU4 ► a A- co" i A M <br />JS. <br />Ott JJ ?C00 before me, Mgrrr, C.,' f'?1'`lGt)Il. „j�1 ,e IIC_ <br />LI0111 <br />Name end TV- & Cl= (o 01. V..- aea. Ns1—ry Pu3Ce) <br />personally appeared 7' 14• <br />C <br />Nam.(4) of Slcr arot <br />• R'personatly known to me <br />n proved to me on the basis of satisfactory <br />evidence <br />to be the personN whose nameN is!ate- <br />subscribed to the within instrument and <br />acknovA edged to me that hel*heMiey executed <br />the same in his /herM.iew authorized <br />capacity(), and that by his /hs9U1,LP r <br />MATTH 7t OR <br />cenlmusicn tl 1232591 <br />signature(*-. on the instrument the person(s4 or <br />_ <br />Nnfoy Pubic - G.:Itrant c <br />the entity upon behalf of which the person( <br />' son fronts= CX mty <br />acted, executed the Instrument. <br />W ^t my hand official seat. <br />r+l7ee Hoary Seel RCurc <br />Egnel m 11 Isry Pu1a7s <br />OPTIONAL <br />Thourh the inlorm„ rion below- Is not required by lav, it may prove valuablo ro persons rahXng on the documarlt <br />and could provart fraudulent ron, ovol and reattachment of rhis form to ancinor document. <br />Description of Attached Document <br />Title or Type of Document.' 1 (r,/A ciA L VA"Ar l r SU2E-F� <br />Document Date: Number of Purses: <br />Signer(s) tither Than Nemed Above: <br />Capacity(ies) Claimed by Signer <br />Signer's Name: _� r <br />0 Indlvidual ` <br />O Corporate Officer — Tille(s): Tcp of thumb he <br />Q Partner —L'• Limited 0 General <br />Ci Attorney in Fact <br />Cl Trustee <br />Q Guardian or Conser.,ator <br />r Other: <br />Selmer Is Representino: <br />on» r. w, dtk"7— W- wn- W0[M ZM AVO,M. CAM ;w2•uwa«on+."1;13134402 —5 VO ..7 P.uNwblur A.rnhr.CdUb,f:a1•oowarws+r <br />
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