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2015-02-18_GENERAL DOCUMENTS - P2014022
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2015-02-18_GENERAL DOCUMENTS - P2014022
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Last modified
8/24/2016 5:57:31 PM
Creation date
12/3/2015 4:19:42 PM
Metadata
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Template:
DRMS Permit Index
Permit No
P2014022
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
2/18/2015
Doc Name
Affidavit of Officer Authority
From
Total E & P
To
DRMS
Email Name
THM
GRM
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Jean De Ridder <br />person], in his/her capacity as etEIVERg4 L 11*kif-b6( <br />personally appeared and, being first duly sworn upon oath said: <br />1920 (402,2. <br />[name of authorized <br />[title of authorized person] ("Affiant"), <br />1. This affidavit is being executed and submitted on behalf of Total E&P USA Oil Shale L.L.C. [name <br />of business organization], a(n) Limited Liability Company [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 P-2014-022 (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 />Jean De Ridder <br />Affiant's Name <br />Signature <br />STATE OF <br />COUNTY OF <br />I too ) <br />AA15 <br />SS <br />Qf� , UQ <br />The foregoingeg�instrument was acknowledged before <br />ymy�ethis � g+4' <br />The <br />day of ,� I ,• Cr Zo �n I <br />by J1 JJ�-#�id&s.„ as l�ei'�QYt/lll��y&of Toi-al E4 I 01 4 OlL6'�►MQj <br />Notary Public ChsL/ 31A -V1)02 <br />My Commission Expires _-412(L ll4) AOI <br />RECEIVED <br />FEB 23 2015 <br />Division of Reclamation, <br />Mining & Safety <br />
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