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

NOTARY FOR LANDOWNER
Acknowledged by:
Owner: Thomas F. Latham
Name:
Date: Title:
State of j
) ss.
County of )
The foregoing was acknowledged before me this day of , 2014, by
Thomas F. Latham.
My commission expires:
Notary Public
NOTARY FOR LANDOWNER
Acknowledged by:
Owner: Mary Frances Wagoner
Name:
Date: Title:
State of )
) ss.
County of )
The foregoing was acknowledged before me this
Mary Frances Wagoner.
My commission expires:
day of , 2014, by
Notary Public