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2015-11-05_GENERAL DOCUMENTS - M1984043
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2015-11-05_GENERAL DOCUMENTS - M1984043
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Last modified
8/24/2016 6:12:18 PM
Creation date
11/16/2015 8:00:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984043
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/5/2015
Doc Name
Affidavit of Authority to Execute FW Documents
From
Pelino, Inc.
To
DRMS
Email Name
DMC
Media Type
D
Archive
No
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h�t[a8���3 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Scott Pelino <br />[name of authorized <br />person], in his/her capacity as President [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 Pelino, Inc. [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 inter''* of the Company to execute certain financial warranty documents associated with file <br />number M 1984 -013 (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 />Scott Pelino, President <br />STATE OF <br />COUNTY OF <br />(1-cs /a7:4-C'C <br />ss <br />The foregoing instrument was acknowledged before <br />meetthis day of, l./E/Y1 /-- 90/5 <br />by _ .-) 677- ek-ws as <br />SCOTT ERCHUL <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 19964021724 <br />MY COMMISSION EXPIRES 08/29/2017 <br />of /.4-1/ 40, '-1---3;e. <br />Notary Public <br />My Commission Expires 08 /1 <br />NOV 7O <br />,;,;ui, ut Reclamation, <br />Mining & Safety <br />
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