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b lAl L Ut CULUK�U <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 C O L O R A D O <br /> Phone:(303)866-3567 I ON OF <br /> Document Imaging CD/DVD RECLADIVI MATION <br /> FAX:(303)832-$706 REQUEST FORM <br /> MI LNG <br /> SAFETY <br /> Request nfor the DBMS doctl rent i7ges on the following DRMS Permit files}: <br /> 1) O//TT %� 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 @$5.00 per disk ,V4 ❑ DVD @ $20.00 per disk <br /> 5�. <br /> Please check if yad 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.muning.state.co.us, or <br /> they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the twine and labor of making the CD/DVD. <br /> Basic Instructions: <br /> 1. Insert CD/DVD into your disk drive RECEIVED <br /> /2 Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br /> 4. Lasertiche will Load, Opening the Start Page , SEP z 9 Z014 <br /> 5. Click on the Available Repository and Click Open, You are now ready to view the file(s), <br /> DIVI�IQN OF R.GI.ANAA►TION, <br /> DRMS cannot provide computer related support. MINING &A,aINERALS <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user fr <br /> damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data( <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 liabilil <br /> arising out of the use of the data/information provided. <br /> Customer Mailing and Contact Information: <br /> DRMS use only <br /> Print Name: 1477."IT <br /> C� el <br /> /'� / CD/DVD created and <br /> Company: 2,W_ ( t%/�iE/Cl, O r� M stud by: <br /> Address: <br /> n ,, 1 /G vd.� ate: - <br /> Phone: �/�/v ��" ` <br /> 328f <br /> Signature: <br /> Office of Office of <br /> Mined land Reclaratlon Denver Grand junction • Durango Active and Inactive Mines <br />