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2015-09-03_GENERAL DOCUMENTS - M1974086
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2015-09-03_GENERAL DOCUMENTS - M1974086
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Last modified
8/24/2016 6:10:30 PM
Creation date
9/10/2015 11:35:46 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M1974086
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/3/2015
Doc Name
Office Affidavit of Authority
From
Asphalt Paving Company
To
DRMS
Email Name
MAC
Media Type
D
Archive
No
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k 10 -7Ut -� <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the ndersigned _ TJEF,FRE� IAJ, K ESR [name of authorized <br />person], in his/her capacity asC&6jtAe4,#- [title of authorized person] ("Afant"), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of /�AaA (Z-V[name <br />of business organization], a(n) C� ,po (rxr( �, [legal form of usiness organization, <br />e.g., corporation, partnership, limited li ility company, etc.], in good standing in the State of Colorado (the <br />"Company"). <br />2. It is in the /�interest of a Company to execute certain financial warranty documents associated with file <br />{� number ► t l [ `1q � ps<ia(DRMS file number), which are required by the Colorado Mined Land <br />p��' G�b 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 />SC-EEE.Etl JjAj, KOLIE�P, <br />Affiant's Name RECEIVED <br />SEP 0 8 2015 <br />+a <br />Division ,o`Roda agm, <br />i1AO-Nno & S -464y <br />STATE OF MaJ6 ) <br />ss.: <br />COUNTY OF ) <br />foregoin instrum nt was ackno dged before me this 3_ day �t 0 <br />bas of G <br />Notary Public tTi 1.1d v <br />ELIZABETH WHITESEL-DUTTON <br />NOTARY PUBLIC - <br />STATE OF COLORADO My Commission Expires <br />NOTARY ID # 20014022842 <br />MY C <br />OMMISSION EXPIRES JULY 24, 9017 <br />
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