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2017-01-30_GENERAL DOCUMENTS - M1977168
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2017-01-30_GENERAL DOCUMENTS - M1977168
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Last modified
12/14/2020 11:18:59 AM
Creation date
2/3/2017 3:32:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977168
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
1/30/2017
Doc Name
Agreement to Conduct Permitting by Electronic Means
From
Bill Tezak
To
DRMS
Email Name
TC1
SLB
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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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 /> Further, Affiant sayeth not. <br /> Bill Tezak <br /> Affiant's name <br /> liggriature <br /> Notarized Affidavit of Si nature <br /> STATE OF: CO ) <br /> COUNTY OF: ) ss. <br /> Fremont <br /> The foregoing instrument was acknowledged <br /> before me this 24 day of January 2017 by <br /> (date) (month) (year) <br /> as <br /> Bill Tezak President <br /> (Name of permittee representative) (title) <br /> of Colorado Quarries Inc <br /> (permittee) <br /> NICOLE KRAUTN <br /> NOTARY PUBLIC <br /> STATE OF COLORADO OL <br /> NOTARY ID 199W15322 TARY UB IC <br /> MY COMMISSION EXPIRES OCTOBER 6,2020 <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />
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