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2015-08-17_GENERAL DOCUMENTS - M2001113
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2015-08-17_GENERAL DOCUMENTS - M2001113
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Last modified
8/24/2016 6:09:58 PM
Creation date
9/2/2015 12:44:05 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2001113
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
8/17/2015
Doc Name
Affidavit of Officer Authority
From
DRMS
To
Oldcastle SW Group
Email Name
DMC
Media Type
D
Archive
No
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P4APiIGkM <br />,M aoV ( 113 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Peter J. Siegmund [name of authorized <br />person], in his/her capacity as Assistant Secretary [title of authorized person] ("Affiant"), <br />personally appeared and, being first duly sworn upon oath said: <br />Oldcastle SW Group, Inc. dba <br />1. This affidavit is being executed and submitted on behalf of United Companies of Mesa County [name <br />of business organization], a(n) corporation [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 M-2001-113 (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 />PETER J. SIEGMUND <br />Affiant's Name <br />Signature <br />STATE OF Colorado ) <br />Mesa ) ss.: <br />COUNTY OF 1 <br />RECEIVED <br />AUG 17 2015 <br />Division of Reclamation, <br />Mining $ Safety <br />The foregoing instrument was acknowledged before me this 11 qday of A 14 u-6+ /� <br />by f� as 10;;-64k of sia fm �. d6Q <br />Notary Public �Q�A e-t/jG11 Q `&let_ <br />N <br />GE E JIEVE V1. BLECHA <br />NOTARY -PUBLIC My Commission Expires 461j q &9/9 <br />STATE OF COLORADO <br />NOTARY 10 #19914003259 <br />M Commisslon Expires April 4, 2019 <br />
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