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2014-07-02_GENERAL DOCUMENTS - M1985112
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2014-07-02_GENERAL DOCUMENTS - M1985112
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Last modified
8/24/2016 5:45:23 PM
Creation date
7/9/2014 4:15:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985112
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/2/2014
Doc Name
Affidavit of authority to execute financial warranty documents
From
Loloff Construction, Inc.
To
DRMS
Email Name
PSH
TAK
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Robert A. Baker <br />person), in his/her capacity as secretaryrrreasurer <br />personally appeared and, being first duly sworn upon oath said: <br />RECEIVED <br />JUG_ 02 2014 <br />DIVISION OF RECIAMATIM <br />MINING ANDSAFErY r <br />[name of authorized <br />[title of authorized person] ( "Affiant "), <br />1. This affidavit is being executed and submitted on behalf of Loloff Construction, Inc [name <br />of business organization], a(n) corporation [legal form of business organization, <br />e.g, corporation, partnership, limited liability company, etc.], in 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 M- 1985-112 (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <br />Warranty Documents "). <br />3. Affiant 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. Affiant 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. Affiant 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 sayeth not. <br />ifl- I i3�c �2✓ <br />Affiant's Name <br />Signature <br />STATE OF s- <br />.n ) ss <br />COUNTY OF <br />^�T fore oing insttr�u nt was acknowledged bef re me this day of <br />by ;CULL !)ice as�L►z �Q r. 7T,FT <br />Notary Public r �' <br />My Commission Expires f <br />+,r OFF10A: :ic ".L <br />MICHA-F-- <br />�t. NOTARY <br />`'`. • �� ALIF �Ot1t <br />My Comm. i 'et Nov. 7021 <br />
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