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2015-09-03_GENERAL DOCUMENTS - M2010034
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2015-09-03_GENERAL DOCUMENTS - M2010034
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Last modified
8/24/2016 6:10:30 PM
Creation date
9/10/2015 11:35:38 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2010034
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/3/2015
Doc Name
Affidavit of Authority
From
Syzygy Enterprises
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned 1` ie"j, M 1111 [name of authorized <br />person], in his/her capacity as rni4n4aAr [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 5 X.ZY U Y name <br />of business organization], a(n) L r✓G [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 2-010 • D 3'f (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 />wed M�1I1e( <br />Affiant's Name <br />Signature <br />STATE OF CA(�A�rd ) <br />COUNTY OF <br />ss.: <br />_ <br />The� foregoing instrument was acknowledged before me this -44 day of ?iC//r'IA c) -VI -5 <br />by rY�c+ ?. Nl i 111T as (V1.04 4N- of 5� Z Y Gly C� IJ T3'12/I Qi/7 <br />Notary Public <br />My Commission Expires <br />BARBARA I CORIA <br />NOTARY PUBLIC <br />BTATE OF COLORADO <br />NOTARY ID 19974013343 <br />c^)OWSSION EXPIRES JULY 26.2017 <br />
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