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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 COLORADO <br />DIiION Of <br />Phone: (303) 866-3567 Document Imaging CD/DVD RE v rCUMATION <br />FAX (303)832-8106 REQUEST FORM MINING <br />SAFETY <br />R j1q <br />�tthie RMS document images on the following DRMS Permit file(s): b) K," p04' O 1 e <br />C,1 1 2 1g-7�1 D7! 3 i�+L1��7gA05 4 1 CX>5 0 75 <br />3 )11 ) <br />ment images can be copied to either a CD or a DVD. Please check one below and return <br />this form with your payment to DRMS, If a CD is requested and the permit is too large for a CD, you will be called. <br />Lpj CD Irr $5.00 per disk ® DVD Q $20.00 per disk <br />Please check if you want a copy of the Directions for Use of CD/DVD <br />The Permit File document images can be viewed in the reception area of the DRMS office, online at www.rruning.state.co.us, or <br />they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br />Basic Instructions: <br />I. Insert CD/DVD into your disk drive <br />2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br />4. Laserfiche will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br />DBMS cannot provide computer related support. <br />Disclaimer. <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user foi <br />damages of any kind arising out of the use of data or information provided by the DBMS, including the installation of the data oI <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br />without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantabilit) <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user': <br />sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liabilit) <br />arising out of the use of the data/information provided. <br />Customer Mailing and Contact Information: <br />Print Name: `- 6 L <br />Company: �iai%�ot �� is t-� �rt�i (✓ <br />T' <br />Address: 751 -ur,'r..vv <br />Phone: C1 70 - G <br />Signature: <br />?J <br />_Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango <br />DRMS use only <br />CD/DVD created and <br />testeO�y; - —JIG <br />Date: 5 - <br />Office of <br />Active and Inactive Mines <br />