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2016-04-06_GENERAL DOCUMENTS - M2005077
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2016-04-06_GENERAL DOCUMENTS - M2005077
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Last modified
10/21/2020 10:35:21 PM
Creation date
4/7/2016 5:06:30 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2005077
IBM Index Class Name
General Documents
Doc Date
4/6/2016
Doc Name
Agreement to Conduct Permitting by Electronic Means
From
Nathan Rinderle
To
DRMS
Email Name
SJM
SLB
Media Type
D
Archive
No
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Agreement to Conduct Permitting by Electronic Means <br /> 5. Affiant will inform the Division of Reclamation Mining and Safety within thirty <br /> (30) days in the event that his/her authorization to execute ePermitting Documents <br /> on the Company's behalf is terminated. <br /> Fuurther, Affiant sayeth not. <br /> A.&O Rlj"r-- <br /> Afant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> COUNTY OF: ) ss. <br /> Yl'Ie.s� <br /> The foregoing instrument was acknowledged <br /> before me this day of 1100 r C`'1 9CAP by <br /> (date) (month) (year) <br /> I as <br /> (Name of permittee representative) (title) <br /> of 1 <br /> ia t a.,i cx C 1-C1,Ue <br /> FKHRISTENNZALES-QIJINTERO (permittee) <br /> RY PUBLIC <br /> F C:15401DOD #20154012496=xpires March 27,2019 NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />
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