2014-04-24_REVISION - M1983013 ‎(7)‎

• Permit No: M1983013
• IBM Index Class Name: REVISION
• Doc Date: 4/24/2014
• Doc Name: Application for transfer of mineral permit and succession of operators SO03
• From: Lafarge West, Inc.
• To: DRMS
• Type & Sequence: SO3
• Email Name: THM
• Email Name: GRM
• Media Type: D
• Archive: No

Acknowledged by:
Owner: Traci Latham Rohriig�
Date:
State of r,0 10 Yadd )
) ss.
County of 6IY -field )
NOTARY FOR LANDOWNER
Name: &jna A&Vj-0 Alne',qn
Title: G!
The foregoing was acknowledged before me this rd day of 2014, by
Traci Rohrig.
My commission expires: Match 17 , 6101,9
I &a,,
Ad A
aur� r ` {i"'"�r
Notary Pu U, •u+� �oouox�ae►
�AprozotwmoMR
NOTARY FOR LANDOWNER
Acknowledged by:
Owner: David K. Latham
Name:
Date: Title:
State of )
) ss.
County of )
The foregoing was acknowledged before me this
David Latham.
My commission expires:
day of
Notary Public
2014, by