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2017-01-31_GENERAL DOCUMENTS - P2008046
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2017-01-31_GENERAL DOCUMENTS - P2008046
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Entry Properties
Last modified
12/14/2020 2:10:12 PM
Creation date
2/10/2017 10:15:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2008046
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
1/31/2017
Doc Name
Affidavit of Authority
From
American Shale Oil, LLC
To
DRMS
Email Name
THM
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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Pao��o� <br /> Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned Avi Goldin [name of authorized person],in his/her <br /> capacity as C.F.O. [title of authorized person] ("Affiant"),personally appeared and,being first duly <br /> sworn upon oath said: <br /> 1. This affidavit is being executed and submitted on behalf of American Shale Oil, LLC [name of business <br /> organization],a(n) Corporation [legal form of business organization, e.g.,corporation, <br /> partnership,limited liability company,etc.],in good standing in the State of Colorado(the"Company"). <br /> 2. It is in the interest of the Company to execute certain financial warranty documents associated with file number <br /> P-2008-046 (DRMS file number),which are required by the Colorado Mined Land Reclamation Board and <br /> Division of Reclamation Mining and Safety pursuant to Colorado law("Financial Warranty Documents"). <br /> 3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to bind the Company to <br /> the same. <br /> 4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from executing the <br /> Financial Warranty Documents. <br /> 5. Affiant will inform the Division of Reclamation Mining and Safety within thirty(30)days in the event that his/her <br /> authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br /> Further,Affiant sayeth not, i -IVED <br /> Avi Goldin FEB 01 '.'r <br /> Affiant's Name <br /> CY5��5� wluiing& Safety <br /> Signa <br /> STATE OF <br /> �V S <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this 3 t day of U <br /> by Avi Goldin as C.F.O. of American Shale Oil, LLC <br /> Notary <br /> K lic <br /> M Commission E' ' � Cc <br /> oho of l <br /> MinAffidavitAuthority.docx Rev.08/16 <br /> ` LINDA A.KARCIC <br /> COMMISSION#2404635 <br /> NOTARY PUBLIC-STATE OF NEW JERSEY <br /> MY COMMISSION EXPIRES <br /> FE13R ANY 18 2b21 <br />
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