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: Thomas F. Latham
Date:
State of
) ss.
County of Yy,\.O -5( )
NOTARY FOR LANDOWNER
Name: k VyMIN }.
Title: -��,�
The foregoing was acknowledged before me this I1 day of �2,�. , 2014, by
Thomas F. Latham.
My commission expires: B —1 XOl�
E Diane Rickstrew
Notary Public
State of Colorado
Notary ID 20004011878
My Commission Expires August 7,
Acknowledged 6y:
Owner: Mary Frances Wagoner
Date:
State of )
) ss.
County of )
Notary Public
LANDOWNER
Name:
Title:
The foregoing was acknowledged before me this day of
Mary Frances Wagoner.
My commission expires:
Notary Public
2014, by