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b IAl L Ur CULUK�U <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources ��//J /, <br /> 1313 Sherman St.,Room 215 ✓ v <br /> Denver,Colorado 80203 COL O R A D O <br /> DIVISION OF <br /> Phone:1303)B66-3567 Document Imaging CD/DVD RECLAMATION <br /> FAX:(303)832-8i06 REQUEST FORMMINING <br /> SAFETY <br /> Request forthe DRMS doct> te�i7ges on the following DRMS Permit 61e(s): <br /> 1) O/T 2)�' 3) 4) <br /> The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br /> this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called. <br /> �✓ CD a $5.00 per disk A/d ❑ DVD @a $20.00 per disk <br /> �5e.— <br /> Please check if ychi wa t a copy of the Directions for Use of CD/DVD <br /> The Permit File document images can be viewed in the reception area of the DRMS office, online at www.rruninR.state.co.us, or <br /> they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br /> Basic Instructions: <br /> l. Insert CD/DVD into your disk drive RECEIVED <br /> /2 Click Yes to Accept the License Agreement for Laserfiche Plus Viewer I� <br /> 4. Lasertiche will Load, Opening the Start Page , SLF Z 9 Z014 <br /> 5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br /> pIVIgION OF R&CLAMATION, <br /> DRMS cannot provide computer related support. WNING ��'r1r.MINEIZALS <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user fc <br /> damages of any kind arising out of the use of data or information provided by thts DRMS, including the installation of the data c <br /> information, its use, or the results obtained from its use.."Any data or information provided by the DRSM is provided "as i., <br /> without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantabilil <br /> and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user <br /> sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liabilii <br /> arising out of the use of the data/information provided. <br /> Customer Mailing and Contact Information: <br /> T D DRMS use only <br /> Print Name: 147_ "1-r � 1 j- l J--/L Pl j7 <br /> CD/DVD created and <br /> Company: ,lam�G(1 D/�`iE/C(, 4 � c�►r / ► IIL steel by: <br /> Address: <br /> ICA <br /> L`/) VIf IV Q' GVA1 �QO ate: <br /> Phone: r C� D i1/p U <br /> O32�1 ! y <br /> Signature: <br /> Office of Office of <br /> Mined land Reclamation Denver • Grand)unction • Durango Active and inactive Mines <br />