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2015-04-15_GENERAL DOCUMENTS - M1981044
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2015-04-15_GENERAL DOCUMENTS - M1981044
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Last modified
8/24/2016 5:59:20 PM
Creation date
4/17/2015 8:47:06 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M1981044
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/15/2015
Doc Name
Officer Affidavit of Authority
From
Pioneer Sand Company, Inc.
To
DRMS
Email Name
BJC
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Robert D. Carlson <br />Before me this day, the undersigned [name of authorized <br />person], in his/her capacity as CFO [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: ` <br />1. This affidavit is being executed and submitted on behalf of Pioneer Sand Company Inc [name <br />of business organization], a(n) corporation [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 -1977 -174, M- 2000 -136 • (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 "). "M- 1981 -044, M2000 -080, M- 2003 -016, M- 2003 -021, <br />M- 2000 -080, M- 1993 -050 <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. i <br />I ' <br />i <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. i <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 />n <br />Further, Affiant sayeth not. <br />Robert D Carlson <br />Aff ant's Name <br />Signature <br />STATE OF Colorado <br />COUNTY OF El Paso <br />by <br />ss.: <br />The foregoing instrument was acknowledged before me this 8th <br />Robert D. Carlson as CFO <br />dtlLlE SEVIER <br />-NOTARY PUBLIC = STATE 'OF COLORADO <br />Notary Identification # 20084006577 <br />My Commission Expires 2125/2016, <br />t <br />I <br />I <br />RECEIVED <br />APR 15 2015 <br />Division of Reclamation , <br />Mining & Safety <br />I <br />i <br />4 <br />1 <br />i <br />_day of April , <br />2015 <br />of Pioneer Sand Company Inc <br />Notary Public r <br />My Commission Expires :°�`r <br />
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