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STATE OF COLORADO <br /> DIVISION'OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 404: <br /> Denver,Colorado 80203 C O L O R A D O <br /> D I V I S 1 0 N O F <br /> Phone:(303)866-3567 Document Imaging CD/DVD RECLAMATION <br /> FAX:(303)832-8106 REQUEST FORM 1NG <br /> IV D <br /> Request for the DRMS document images on the following DRMS Permit file(s): MAi' It 3 2017 <br /> 1) M 1981 057 2) 3) 4) FAMSION OF kECLAMATION <br /> MINING&SAFEi'y <br /> The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br /> this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called. <br /> CD @$5.00 per disk 11 DVD @ $20.00 per disk <br /> Please check if you want a copy of the Directions for Use of CD/DVD <br /> The Permit File document images can be viewed in the reception area of the DRMS office, online at www.nuning.state.co.us,or <br /> they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br /> Basic Instructions: <br /> 1. Insert CD/DVD into your disk drive <br /> 2 Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br /> 4. Lasertiche will Load, Opening the Start Page <br /> 5 Click on the Available Repository and Click Open, You are now ready to view the file(s). <br /> DRMS cannot provide computer related support. <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user foi <br /> damages of any kind arising out of the use of data or information provided by the DBMS, including the installation of the data of <br /> information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br /> without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantabilitq <br /> and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user': <br /> sole risk, and the user agrees to indemnify and hold harmless the DRMMS, its officials, officers and employees from any liabiht) <br /> arising out of the use of the data/information provided. <br /> Customer Mailing and Contact Information. <br /> Print Name: <br /> READE ROSELLES DRMS use only <br /> _ <br /> COFFEY ENGINEERING'^ CD/DVD created and <br /> Company: tested � <br /> Address: 4045 ST. CLOUD DR. STE. 180 <br /> LOVELAND, CO Hate: 3 3 <br /> Phone: 9 �-622- 9 <br /> Signature. _ <br /> 4 V <br /> �..� <br /> Office of Office of <br /> Mined Land Reclarnatlon Denver • Grand Junction Durango Active and Inactive Mines <br />