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2015-05-13_GENERAL DOCUMENTS - P2014014
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2015-05-13_GENERAL DOCUMENTS - P2014014
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Last modified
8/24/2016 6:00:15 PM
Creation date
5/21/2015 8:20:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2014014
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
5/13/2015
Doc Name
Office Affidavit of Authority
From
Simple Oil LLC
To
DRMS
Email Name
THM
GRM
Media Type
D
Archive
No
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Ox <br />L o iq 01q <br />(0 q� et-tj <br />- <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Timothy R. Buchanan [name of authorized <br />person], in his/her capacity as Director and secretary [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 Simple Oil LLC [name <br />of business organization], a(n) Delaware limited liability Company [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 P-2014-014 (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 />STATE OF Colorado <br />COUNTY OF Jefferson <br />by <br />ss.: <br />RECEIVED <br />MAR 19 2015 <br />.ivision of Reclam. #*n <br />Mining & Safety <br />The foregoing instrument was acknowledged before me this 13tN ay of March 2015 , <br />Timothy R. Buchananas Director & SecretVy Simple Oil LLC, a Delaware limited <br />SUE. <br />lavit of Authority Re45 <br />0 •., PUBLIC <br />�OF COQ.' <br />12.docx <br />liability mpany <br />Notary Public Ul <br />My Commission Expires Q �� <br />Rev. 05/12 <br />
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