Laserfiche WebLink
Affidavit of Authority to Execute Fin-aancial Warranty Documents <br /> !l <br /> Before me this day,the undersigriff: I-1116S ✓� � V [[name of authorized <br /> person],in his/her capacity as 4 fh? [title of authorized person]("Affiant"), <br /> personally appeared and.being first duly sworn upon oath said. <br /> I This affidavit is being executed and submitted op e If of!/�/d�irsT�[r�!«..I7w [�� (name <br /> of business organizahonJ,a(n) ..`/, [legal form of business organization, <br /> e.g,corporation,partnership,limited liability comlAny,etc rin good standing in the State of Colorado(the <br /> "Company") <br /> 2 It is in the interest of the Company to execute certain financial warranty documents associated with file <br /> number PaDlt4-00-4- 805 (DRMS file number),which are required b3 the Colorado Mined Land <br /> Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law("Financial <br /> Warranty Documents") <br /> 3. Aftiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br /> bind the Company to the same <br /> 4. Aftiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br /> executing the Financial Warranty Documents. <br /> 5 Aftiant will inform the Division of Reclamation Mining and Safety within thirty(30)days in the event that <br /> his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br /> Further,Affiant saye1th not. / <br /> �Yt.•J �tS 7 I�+rGlaw/� 74,. L� <br /> Af iant's Name <br /> o-- <br /> Signature <br /> STATE OF lrQ td y'(aQ l <br /> �s <br /> COUNTY OF <br /> L <br /> The foregoing instrument was acknowledged before me this_day of T (1 Lr <br /> b} L -'t-_—� of <br /> Notary Public _ <br /> My Commission ExpireN <br /> JENNIFER M SN11" - <br /> NOTARY PUBLIC' <br /> STATE OF COLORADO <br /> ',szOYARY ID 20014008724 <br /> S1 f CG,7i':lS3l0N EXPIRES 41812011 <br />