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2015-09-15_GENERAL DOCUMENTS - M1977522
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2015-09-15_GENERAL DOCUMENTS - M1977522
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Last modified
8/24/2016 6:10:44 PM
Creation date
9/17/2015 1:32:15 PM
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Template:
DRMS Permit Index
Permit No
M1977522
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/15/2015
Doc Name
Affidavit of Authority
From
LG Everist
To
DRMS
Email Name
ECS
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />(for the Colorado Division of Reclamation, Mining and Safety) <br />Before me this day, the undersigned Steve Mousel [name of authorized person], in <br />his/her capacity as Chief Financial Officer and Vice Pres. - Resources [title of <br />authorized person] ("Affiant"), personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of L.G. Eyerist. Incorporated <br />[name of business organization], a corporation [legal form of business <br />organization, e.g., corporation, partnership, limited liability company, etc.], in good standing in <br />the State of Colorado (the "Company"). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated <br />with DRMS file number(s) listed below, which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation, Mining and Safety (DRMS) pursuant to <br />Colorado law ("Financial Warranty Documents"). <br />c�,�JED <br />M-1977-522 - Star Water Resource RE <br />M-1988-048 - Carr Gravel Resource 5 Zoe <br />M-1996-052 - Firestone Gravel Resource SEQ 1 <br />M-1997-093 - Rinn Valley Resource anon, <br />M-1999-120 - Fort Lupton Sand & GravelIjN;Sion of p saw ty <br />M-2001-017 - Carbon Valley Resource wlo"g <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the <br />Company and to bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any <br />applicable law from executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the <br />event that his/her authorization to execute Financial Warranty Documents on the Company's <br />behalf is terminated. <br />Further, Affiant sayeth not. <br />Affiant's Name Affiant's Signature <br />STATE OF -5QL0k LkLko Lk <br />� <br />)ss.: <br />COUNTY OF Kir y� it n ra-kv-hA- ) <br />The foregoing instrument was acknowledged before me this 15 th- day of laf4- <br />by S4C-V,# KW -St I as <br />OPO <br />Notary Public <br />My Commission Expires / l <br />DRMS-AffidavitOfAuthority-SteveMo u sel. docx <br />of L-- • C-' E;y, j S -f, Loo ' <br />
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