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2014-11-28_GENERAL DOCUMENTS - M1982113
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2014-11-28_GENERAL DOCUMENTS - M1982113
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Last modified
8/24/2016 5:55:40 PM
Creation date
12/3/2014 8:16:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987113
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/28/2014
Doc Name
Affidavit of Authority to Execute FW Documents
From
Bestway Concrete Company
To
DRMS
Email Name
ECS
TAK
Media Type
D
Archive
No
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RECEIV <br />ED <br />NOV 2 8 2014 <br />DIVISION OF RECLAMATION <br />Affidavit of Authority to Execute Financial Warranty Documents MINING AN ©SAFETY <br />Before me this day, the undersigned Mark Johnson [name of authorized <br />person], in his/her capacity as vice President [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of Bestway Concrete Company [name <br />of business organization], a n corporation <br />() [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- 1983 -090, M- 1987 -113* (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 />M1996 -060 M2000 -144 M2003 -001 <br />M1997 -058 M2000 -145 M2006 -003 <br />n�tj2K- --\o rl0-'cZ M1998 -013 M2002 -120 <br />Affiant's Name <br />Signature <br />STATE OF <br />ss.: <br />COUNTY OF <br />Th . foregoing i strument was acknowle ged b ore me this <br />149-y of <br />by — as of <br />Notary Public <br />My Commission Expires���� <br />::MISVICKI L. CRUZAN <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />SION OTARY ID 20114024401 <br />MX COM <br />
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