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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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IN WITNESS WHEREOF, I have hereunto set my hand and official seal on the day, month and <br />year aforesaid. <br />My Commission Expires: February 7, 2008 r w <br />(Notary Public in aforesACoilky and State)___ <br />MARY LOU MOGUEI <br />WTANY PMX STATE OF TEXAS <br />CO1111M15l101! EXPIRES: <br />FEBRUARY 7, 200E <br />On this 21-;t day -ot Ma-rcb ,,.•; . -.. 1 A 7 . , before me, a <br />Notary Public in and for the "County of ti -Paso ; in the State of <br />T xn -q , aPpeairtrd'Raul,a, -ana_ , tq me <br />personally known who, being by me duly sworn, slid say that he /she is Ran'kf -r <br />of Wells Fargo Bank NA the Issuing Institution named iii and which <br />executed the within instrument, and that the seal affixed to said instrument is the corporation sea] <br />of said Issuing Institution, and xhat said instrument was signed, sealed and delivered in behalf of <br />said corporation by authority of its Board of Directors, and he/she, as such officer, acknowledged <br />said instrument to be the-free act and deed of said corporation, Tor the uses and purposes of said <br />instrument as therein set forth. <br />IN WITNESS WHEREOF, I have hereunto set my hand and official seal on the day, <br />month and year aforesaid. <br />My Commission Expires: February 7, - 2008 <br />(Notary Public in s1breAi o fy:and.Stite) <br />MARY LOU MOOUEL <br />NOTiNYMM SATE OFTEXAS <br />C011913310E EXPIRES: <br />Paperwork Reduction Act Notice �aa� FEBRUARY 7. 2008 <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 that relies <br />upon certificates of deposit). Under 30 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 deperding 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 th6 Jr.i"tions, gathering and <br />maintaining information, and completing and reviewing the forms. If you havo comments concerning the accuracy <br />of this estimate or suggestions for simplifying the forms or instructioips, 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 to comply with, a collection of information unless it displays a currently <br />valid OMB control number. <br />OMB Control No. 1029 -0043; expires 1/31/2009 <br />Permit No. CO -0106A Page 3 of 3 Certificate of Deposit - Corporation <br />
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