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2017-06-14_PERMIT FILE - M2017025
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2017-06-14_PERMIT FILE - M2017025
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Last modified
6/19/2017 8:45:24 AM
Creation date
6/15/2017 4:21:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2017025
IBM Index Class Name
Permit File
Doc Date
6/14/2017
Doc Name
Application
From
Oldcastle SW Group
To
DRMS
Email Name
DMC
GRM
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Peter J. Siegmund <br />[name of authorized person], in his/her <br />capacity asAssistant Secretary [title of authorized person] ("Affiant'), personally appeared and, being first duly <br />sworn upon oath said: <br />This affidavit is being executed and submitted on behalf of oldeastle 5w Group. Inc. dba united companies 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 />(DBMS 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. <br />Peter J. Siegmund <br />Affiant's Name <br />STATE OF Colorado <br />COUNTY OF Mesa ) <br />The foregoing instrument was acknowledged before me this f day of J LIhC <br />by Peter J. Siegmund as Assistant Secretary of oldcastle SW croup, Inc. dba united Compankm <br />Notary public 1AMW1LK YA:,44 <br />My Commission Expiresr�' <br />GENEVIEVE ",r, BLECHA ! <br />MinAffidavitAuthority_docx Rev. OV16 NOTARY PIJI31_IC <br />STArI~ OF COLORADO <br />NOTARY ID (#19914003259 <br />My Comm:ss;on Expires April 4.2019 <br />846—atury <br />STATE OF Colorado <br />COUNTY OF Mesa ) <br />The foregoing instrument was acknowledged before me this f day of J LIhC <br />by Peter J. Siegmund as Assistant Secretary of oldcastle SW croup, Inc. dba united Compankm <br />Notary public 1AMW1LK YA:,44 <br />My Commission Expiresr�' <br />GENEVIEVE ",r, BLECHA ! <br />MinAffidavitAuthority_docx Rev. OV16 NOTARY PIJI31_IC <br />STArI~ OF COLORADO <br />NOTARY ID (#19914003259 <br />My Comm:ss;on Expires April 4.2019 <br />
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