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STATE OF COLOBADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources /`, <br /> 1313 Sherman St.,Room 215 /" _,2 1 <br /> OCOL R A D C <br /> ONDenver,Colorado 80203 v tTPhone:(303)866-3567 Document Imaging CD/DVD RECLAMATION <br /> FAX:(303)832-8106 <br /> MINING <br /> REQUEST FORM ---&,— <br /> SAE ETY <br /> Ree�nest for the DRMS document images on the following DRMS Permit file(s): <br /> �I lie (z�r f���rvy u9'tr•Klei:--��r r <br /> ft 2 --!) M 9- 06S 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 /> WCD @$5.00 per disk F� DVD @$20.00 per disk <br /> Please check if you want 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.mining.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 /> 1. Insert CD/DVD into your disk drive <br /> 2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br /> 4. Laserfiche will Load,Opening the Start Page <br /> 5. Click on the Available Repository and Click Open,You are now ready to view the file(s). <br /> DRMS cannot provide computer related support. <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DBMS) is not responsible and shall not be liable to the user foi <br /> damages of any kind arising out of the use of data or information provided by the DRMS,including the installation of the data of <br /> information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br /> without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability <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 DBMS, its officials, officers and employees from any liability <br /> arising out of the use of the data/information provided. <br /> Customer Mailing and Contact Information: <br /> � DRMS use only <br /> Print Name: Ma rK 14 t t ;f h e y— <br /> CD/DVD created and <br /> Company: jt ted bf <br /> Address: 3 7 .E, o l o ra,a o 6 u e - <br /> Uen V a`c- O 00 A i o ;Date: <br /> Phone: 30 "' 7 7 <br /> Signature: <br /> Office of Office of <br /> Mined Land Reclamation Deaver • Grand Iunction • Durango Active and Inactive Mines <br />