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2015-02-06_GENERAL DOCUMENTS - M2002109
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2015-02-06_GENERAL DOCUMENTS - M2002109
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Last modified
8/24/2016 5:57:17 PM
Creation date
2/12/2015 8:18:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2002109
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
2/6/2015
Doc Name
Affidavit of Authority to Execute Financial Warranty Documents
From
A. Blasi & Son Trucking and Earthmoving, LLC
To
DRMS
Email Name
TOD
TAK
Media Type
D
Archive
No
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im <br />�� (/ <br />RECEIVED <br />FEB 0 6 2015 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Division of Redtgfi9mo®►1, <br />Before me this day, the undersigned Anthony A Blasi [name of authorized �o y <br />person], in his/her capacity as [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn u on oath said: <br />1. This affidavit is being executed and submitted on behalf of A Blasi & Son Trucking & Earthmoving, LLC [name <br />of business organization], a(n) LLC [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 2002 -109 (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 />Anthony A Blasi <br />Affiant's Name <br />Signature <br />COUNTY STATE OF ��IlvaAla <br />• i.. lIi. �I <br />ATh f regomg ins ent was acknowledged before a this � day of I . 1, k <br />by as � of t <br />r <br />Notary Pub <br />JAGURErsmffm 3My m mission Expires — <br />fW3to* <br />
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