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2015-04-06_GENERAL DOCUMENTS - P2015002
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2015-04-06_GENERAL DOCUMENTS - P2015002
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Last modified
8/24/2016 5:59:03 PM
Creation date
7/28/2015 11:08:29 AM
Metadata
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Template:
DRMS Permit Index
Permit No
P2015002
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/6/2015
Doc Name
Affidavit of Authority
From
Jim Eberle
To
DRMS
Email Name
DMC
GRM
Media Type
D
Archive
No
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Z p(6L Z - <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned :Ti EV -l£ [name of authorized <br />person], in his/her capacity as IPV Sld rA-r [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 14S [name <br />of business organization], a(n) LLC. [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 (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 />DNA �EQLL <br />Affiant's Name <br />Sig Lure <br />STATE OF %—y.SLQs ) <br />COUNTY OF <br />66 r -r t s ss.: <br />The foregoing instrument was acknowledged before me this (0 day of <br />A <br />by,. )um Eha'(e as PreSICLP-ttt of ifs MIVIc <br />Notary Public <br />My Commission Expires <br />;�o U S SF <br />,9G <br />- C- x' <br />SIAiE �� Q�'y • Q 1 <br />7 <br />2� — 24/ <br />
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