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2015-05-04_PERMIT FILE - M2015022
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2015-05-04_PERMIT FILE - M2015022
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Entry Properties
Last modified
8/24/2016 5:59:58 PM
Creation date
5/21/2015 8:18:32 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2015022
IBM Index Class Name
PERMIT FILE
Doc Date
5/4/2015
Doc Name
Letter Responses
From
Lazy H Inc
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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- 6 - <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />STATE OF io ) <br />ss. <br />COUNTY OF ( a-✓' S ) <br />The foregoing instrument was acknowledged before me this �� + ti day of G f j <br />by W • i i vM k•— r f 1 !ujy aas _ M,, , , r e- r of KZ �'� 1 /► c <br />STEVEN MADERA <br />NOTARY PUBLIC j <br />STATE OF COLORAC•` j( <br />NOTARY ID 200140100 <br />COMMISSION EXPIRES SEP. 16. ?b" <br />APPROVED: <br />State of Colorado <br />Mined Land Reclamation Board <br />Division of Reclamation, Mining and Safety <br />Division Director <br />M:,minlshare�fwndformsiColporatrSuray REVISED 10!76/07 <br />NOTARY PUBLIC <br />My Commission expires: Cy / t 6 L ( I— <br />Date: <br />
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