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2015-04-02_GENERAL DOCUMENTS - M1986102 (4)
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2015-04-02_GENERAL DOCUMENTS - M1986102 (4)
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Last modified
8/24/2016 5:58:58 PM
Creation date
6/30/2015 5:11:17 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1986102
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/2/2015
Doc Name
Affidavit of Authority
From
Collins Moorehead LLC
To
DRMS
Email Name
LJW
GRM
Media Type
D
Archive
No
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rV1 Iqe(", /d'L- <br />t% `/ <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned ' viS [name of authorized <br />person], in his/her capacity as Cl s o [title of authorized person] ("Affiant"), <br />personally appeared and, being Pirst duly swbm upon call said: <br />1. This affidavit is being executed and sub itted on behalf of Cc j j iyi 5 P�cre kC ,! LiL r` [name <br />of business organization], a(n) [ i -M i�� ( of b J 11:q Lem ppA , [legal form of business organization, <br />e.g., corporation, partnership, limited liability comps , etc.],n g�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 5-jj�-� 13ae— (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 />RECEIVED <br />(fe�t%4s APR 02 20th <br />Affiant's Name <br />Division of Reclamation, <br />Mining & Safety <br />tgnature <br />STATE OF <br />ss.: <br />COUNTY OF /VCU IAV c S e ) <br />n The foregoing instrument was acknowledged before me this LL day of <br />by .UG. -111 15 l C C o (�, vc5 as/iar ce. LAIg2yLz,a-, of Ca f(� Ks Wofc4ctc S U c <br />Notary Public 01 <br />CINDY RICHARDSON <br />a '',"OVARY POBLIC ► My Commission Expires <br />4W STATE OF Cr <br />NOTARY ID #20024011725O <br />r My'� ""++`+„ssion Expires April 21, 2018 <br />
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