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2016-06-07_GENERAL DOCUMENTS - M2005061
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2016-06-07_GENERAL DOCUMENTS - M2005061
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Last modified
11/7/2020 10:33:30 PM
Creation date
6/24/2016 8:46:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2005061
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/7/2016
Doc Name
Agreement to Conduct Permitting by Electronic Means
From
M. A. Concrete Construction, Inc.
To
DRMS
Email Name
SJM
GRM
SLB
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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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 /> Further, Affiant sayeth not. <br /> Affiant's name <br /> .) G� A <br /> Signature <br /> Notarized Affidavit of Signature_ <br /> STATE OF: <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this 3 rd day of by <br /> (date) onth) (year) <br /> i as <br /> (Nahle of permittee re esentative (title) <br /> of <br /> (permittee) <br /> COLLEEN HELEN VAUGHN <br /> NOTARY PUBLIC <br /> STATE :OF COLORADO <br /> NOTARY ID#20144025273 NOTARY PUBLIC <br /> My Commission Expires June 26,2018 <br /> (seal) <br /> My Commission expires: <br />
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