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2015-12-07_GENERAL DOCUMENTS - M1976018
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2015-12-07_GENERAL DOCUMENTS - M1976018
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Last modified
8/24/2016 6:13:10 PM
Creation date
12/10/2015 9:02:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1976018
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/7/2015
Doc Name
Officer Affidavit of Authority
From
North Weld Gravel
To
DRMS
Email Name
PSH
WHE
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned LeRoy Bellmore <br />person], in his/her capacity as Manager <br />personally appeared and, being first duly sworn upon oath said: <br />[name of authorized <br />[title of authorized person] ("Affiant"), <br />1. This affidavit is being executed and submitted on behalf of North Weld Gravel, RLLP [name <br />of business organization], a(n) Limited Liability Partnership [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 M618-6 3I CI 1 to Ott (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 />LeRoy Bellmore <br />Affiant's Name <br />Signature <br />STATE OF W L OK 7400 ) <br />, ss: <br />- <br />COUNTY OF YV <br />The foregoing instrument was acknowledged before me this Z day of D CO't rJiL 2015 <br />by LEVo '{ 12A3 l_L PI D1Z 0 as t` 01v A GI tfYL_ of t./C212414 kv EL C3124-1QELi L� <br />MARLA D. DANIELS <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20034008592 <br />MY COMMISSION EXPIRES 3-12-2019 <br />Notary Public L- C <br />y1. ;EIVED <br />DEC 07 2015 <br />,,Ivision of Reclamation, <br />Mining & Safety <br />My Commission Expires 3. 12 • Z 0 I C% <br />
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