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b IAI L Ur CULUK�U <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources 3 <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 "COLOPRADO <br /> Phone:(303) 2-810 67 Document Imaging CD/DVD RECLAMATION <br /> FAX:(303)832-8106t QUEST FORM MUSING <br /> SAFETY <br /> Request for the DRMS docu ent ima es on the following DRMS Permit file(s): <br /> 1) 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 ,��� ❑ DVD t7a $20.00 per disk <br /> '�5eI— <br /> Please check if y ��t a copy of the Directions for Use of CDlDVD <br /> The Permit File document images can be viewed in the reception area of the DRMS office, online at www.rmning.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: RECEIVED <br /> l. Insert CD/DVD into your disk drive p <br /> /2 Click Yes to Accept the License Agreement for Laserfiche Plus Viewer I� <br /> 4. Lasertiche will Load, Opening the Start Page , SEP 2 9 ZQ14 <br /> 5. Click on the Available Repository and Click Open, You are now ready to view the file(s), <br /> piVI&ION 0F RGI,gMp,TION, <br /> DBMS cannot provide computer related support. MINING W BAhETY•MINERALS <br /> low- <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user ft <br /> damages of any kind arising out of the use of data or information provided by tht 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 liabilii <br /> arising out of the use of the data/information provided. . <br /> Customer Mailing and Contact Information: <br /> � 1 DRMS use only <br /> Print Name: _ .4Ti7 /y ��1���'�� Z 5 <br /> / CD/DVD created and <br /> Company: W D/ lE/�lr O '� - 1 r 1 + stud by: <br /> Address: 1 Ls K <br /> � V ✓ lS �VIJ• <br /> / ate: r � _ <br /> Phone: <br /> 0 3- yas- 328� <br /> Signature: <br /> Office of Office of <br /> Mined Land Reclamation Denver Grand junction Durango Active and Inactive Mines <br />