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2015-01-02_GENERAL DOCUMENTS - C1981035
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2015-01-02_GENERAL DOCUMENTS - C1981035
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Last modified
5/19/2020 4:09:03 PM
Creation date
1/6/2015 10:07:17 AM
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Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
1/2/2015
Doc Name
Request for Comments - CO-0106A OSM Permit Renewal
From
OSM
To
DRMS
Permit Index Doc Type
Other Permits
Email Name
MLT
DIH
Media Type
D
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No
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ACKNOWLEDGEMENT OF CORPORATION - OBLIGOR <br />On this . 21s1day of March 1 2007 , before me, a Notary <br />Public in and for the County of El Paso , in the State of Texas <br />appeared Martha Rodriquez to me personally known who, being by me fully sworn, <br />did say that he /she is of National lKinq ,Conl Li,C <br />the corporation named in and <br />which executed the within instniment, and ,t4rat the.'seal affixed to said instrument is the corporate <br />seal of said corporation., _00 that said itlstrunoent wad signed, sealed and delivered on behalf of <br />said corporation by authority Qf its Board 9J Pj=1o. and heJsl , a5 such officer, acknowledged <br />said instrument t6 bp. die free act and need qf.s �dprporatib,n -fQr the uses and pur ses of said <br />Vii_:_ <br />instrument as ih &din set f9oh f <br />IN WITNES$ VIIIEREOF, I have hereunto set my hand and officiatseal tin the day, <br />month, and year aforesaid. .�•,,.�\v.,s.. coafx�v, .,.,., <br />?otYt��\ MARY LOU MOGUEL <br />f <br />`�. NOTARiMA MSTATE OF I= <br />My Commission Expires: Felbruary 7 2008 3 6OUNIS3104 E101RE3: <br />°'`�` FEBRU)ARY 7, 2008 <br />aA <br />Notary Pub is ' '.Attresaid County an tate <br />NOTE: Where negotiable securities are used as collateral, a cziinpleted POWER of ATTORNEY <br />AND AGREEMENT must be attached. <br />Paperwork Reduction Act Notice <br />We use the information required by this form to ensure that the requirements for a collateral bond under 30 CFR <br />800.21 have been met. You must provide the requested information to obtain a benefit (a collateral bond). Under 30 <br />CFR 842.16, the information collected is a matter of public record. <br />The time needed to complete this form and related forms and submit the requested information to obtain a collateral <br />bond will vary depending on individual circumstances. We estimate that the average time will be 4 hours per <br />response. This number includes the time spent reviewing instructions, learning about the regulations, gathering and <br />maintaining information, and completing and reviewing the forms. If you have comments concerning the accuracy of <br />this estimate or suggestions for simplifying the fortes or instructions, you may write to the Information Collection <br />Clearance Officer, Office of Surface Mining Reclamation and Enforcement, Room 202 SiB; 1951 Constitution Ave, <br />NW, Washington, D.C. 20240. <br />Under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.), you are not required to respond to, nor will <br />you be subject to a penalty for a failure tp comply with, a collecaion of information unless it displays a currently valid <br />ONM control number. <br />OMB Control No. 1029 -0043; expires 1/31/2009 <br />Permit No. CO -0106A Page 3 of 3 Collateral Bond & Indemnity Agreement <br />
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