2014-04-10_GENERAL DOCUMENTS - M2014011 ‎(2)‎

• Permit No: M2014011
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 4/10/2014
• Doc Name: Is It Mining
• From: Strong Mining CO.
• To: DRMS
• Email Name: SJM
• Media Type: D
• Archive: No

NAME
ADDRESS
STATE
ZIP CODE
{�
sPA —__•jam !{
C "v"
-�
,; h (mss t� S �' � � �• d,..
$3 � �- 2 � ti _ � d�� � a � � � z-t �;
�'cJa.
//.�
C�
'� !
60 z. ,e
_ 2 Sr � �+ C� � 1'F ,'� CD .S
� t1 J�
W iii !9 � �� � V LiJ �.
Al O - /��\ !
"lam 1
F—MVa4 Z. gtje Ceuc —
�c 53�1? trpv.urY C�
This exemption is filed by the above listed owner(s) in the State of L O L ° 2' R 06 for this assessment year
IAVe understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing of a false, fictitious, o* fraudulet
document with the Bureau of Land Management may result in a fine of up to 510,000, a prison term not to exceed five° yews, or both.
2 c fi✓ C� Y:1 ("I fu L w �=
!� Subscribed and sworn to before me this ay [SEAL]
199 .
d
( Owner's Name - Pl e Print) [j `.;),_, ,.,, •� ��
(Notary I'ubilc)
c�J —
/ (Owner's Signature) (Date Commission Expires)
/ . ............................. ................ ..... .... ........ .............. .........••-............•---. ....._...••....................
(Owner's Name - Please Print)
(Owner's Signature) (Date Commission Expires)
---------------------•------------------------------------------------------------...-----........-......•••...--......----•-
Subscribed and sworn to before me this day
of 1199--
(Owner's Name - Please Print)
Subscribed and sworn to before me this day
of —,199—.
(Notary PuNic)
(Notary Public)
(Owner s Signature) (Date Commission Expires)
............................................ ..................... ............................................................
Subscribed and sworn to before me this day
of ,199_ .
(Owner's Name - Please Print)
(Owner's Signature)
........................................................
(Notary Public)
(Date Commission Expires)
-------- -- -- ------- -------- ---------- -- - --
Subscribed and sworn to befc � me this day
of 199—.
(Owner's Name - Please Print)
(Notary Public)
(Owner's Signature) (Date Commission Expires)
[SEAL]
[S EA L]
[SEA L4
[SEAL]