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2014-12-17_GENERAL DOCUMENTS - M2010007 (2)
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2014-12-17_GENERAL DOCUMENTS - M2010007 (2)
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Last modified
8/24/2016 5:56:02 PM
Creation date
12/19/2014 7:51:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2010007
IBM Index Class Name
General Documents
Doc Date
12/17/2014
Doc Name
Affidavit of Authority to Execute FW Docs.
From
Northwest Aggregates, Inc.
To
DRMS
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned Re Pr 'S ft dr e5 [name of authorized <br /> person],in his/her capacity as Pzts;i:14,4 0 [title of authorized person] ("Affiant"), <br /> personally appeared and,being first duly sworn upon oath said: ! <br /> 1. This affidavit is being xecuted and submitted on behalf of tv a R7 fe/E5T 1'6 b,¢�414-TGS ///iname <br /> g l <br /> of business organization],a(n) Gd 4,041 Zit Tc/,J [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 M410/0-00-7 (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 /> �O el- � S Is RECEIVED <br /> Affian s Name <br /> DEC 17 2014 <br /> DIVISION OF RECLAMATION <br /> re MINING AND SAFETY <br /> STATE OF <br /> ss.: <br /> COUNTY OF 44LIJ111— ) <br /> The g instrument was aeknowle ged be e me t ks day of <br /> o / 7 a V n4, <br /> Nota7Public_ <br /> ����� My Commission Expires �� <br /> DIANA M. GARLOCK <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID#20064044309 <br /> My Commission Expires October 2l,20m <br />
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