My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2017-05-18_PERMIT FILE - M2017022
DRMS
>
Day Forward
>
Permit File
>
Minerals
>
M2017022
>
2017-05-18_PERMIT FILE - M2017022
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/23/2020 1:42:04 AM
Creation date
5/18/2017 1:32:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2017022
IBM Index Class Name
PERMIT FILE
Doc Date
5/18/2017
Doc Name
Application
From
Huerfano County Water Conservancy District
To
DRMS
Email Name
ECS
WHE
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
156
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
408323 02-22-2017 Page 13 of 16 <br /> CALIFORNIA JURAT'WITH AFFIANT STAUMENT GOVERNMENT CODE§8202 <br /> i See Attached Document(Notary to cross out lines 1-6 below) <br /> Ll See Statement Below(Lines 1--6 to be completed only by document signer[s],not Notary) <br /> t� <br /> r <br /> rr rrr tt � � rr <br /> i t / f Ijt <br /> ------------------------------- --------------- ...................... <br /> Signature of Document.Signer No. 1 .Signature of Document Signer No. 2(if any) <br /> .------... ............... --------------------------------- .....-.-.- <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br /> document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. <br /> :................. - .................... ......-------...----....._._......w <br /> State of California Subscribed and sworn to (or affirmed) before me <br /> County of LO5 At.... ��t'.�.......... W _ .. <br /> on this - day of ...� ``��'r .............. 20..#.. .., <br /> by Date Month Year <br /> ` <br /> s �4 i�i . L�at Ic c a <br /> (1l._._...._.. <br /> I AREN A.GUE"T ( 2 and � �......... .... <br /> Ccrnmission�2069,95 ( <br /> Notary Public-California m Name(s)of Signer(s) <br /> Los Angeles County <br /> =23,2018 proved to me on the basis of satisfactory evidence <br /> to be the person(s) who appeared before me. <br /> Signature <br /> Signature of Notary Public <br /> Seal <br /> Place Notary Seal Above <br /> OPTIONAL. <br /> Though this section;is optional, completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an unintended document. <br /> Description of Attached Document <br /> F'--at14Agrpz'jmt_ &^"P 0-ts$B P.ar f grEarue. d <br /> Title or Type of Document: 6mev#a'4 t a:gr�r 4 r 910,. xe;r G <br /> Yp -._ _................ �._..._...._�..Document Date: .�.......� <br /> Number of Pages:-,'X Signer(s)Other Than Named Above: ._..°"------ <br /> ���A`�CSv sWC�hhCiXbfal�?L� �M evi�`XiD`rCb`?eLf;C"rYO`sd ` "+� a.' \`?zf �`" la �F^LiF»xvY.3:f � c� Y? k?Fa? <br /> 02014 National Notary Association•www.NationalNotary.org o 1-800-US NOTARY(1-800-876-6827) item #5910 <br /> 114 <br />
The URL can be used to link to this page
Your browser does not support the video tag.