2015-03-09_PERMIT FILE - M2014068

• Permit No: M2014068
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/9/2015
• Doc Name: PW Request
• From: DRMS
• To: City of Holyoke
• Email Name: ERR
• Email Name: TAK
• Media Type: D
• Archive: No

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The provisions hereof shall bind and inure to the benefit of the parties hereto and their successors -and
assigns.
SIGNED, SEALED AND DATED this day of
City of Holyoke (SEAL)
Operator
By:
Title:
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF
ss.
COUNTY OF
The foregoing instrument was acknowledged before me this day of ,
by as of
NOTARY PUBLIC
My Commission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Reclamation, Mining and Safety
By: Date:
Division Director
M: \min\share \bondforms\Performance Warranty.doc (05/26/2004)