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2017-08-17_REVISION - M1982020
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2017-08-17_REVISION - M1982020
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Entry Properties
Last modified
6/16/2021 2:26:02 PM
Creation date
8/18/2017 12:50:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982020
IBM Index Class Name
Revision
Doc Date
8/17/2017
Doc Name
Application
From
ASPEN Mineral Resources Inc / ALSH, LLC
To
DRMS
Type & Sequence
SO3
Email Name
DMC
WHE
Media Type
D
Archive
No
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P1111 <br />011 +�?_� <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />11l 1Q22 - 07-0 <br />CIVIL CODE § 1189 <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 />State of California <br />County of 515%f\:3AP _ <br />On �Wt425.20,_c before me, , <br />Date Here lnsb4 Name and Title of the Officer <br />personally appeared <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name( isle <br />subscribed to the within instrument and acknowledged to me tha, he/sey executed the same in <br />his/l;e44heir authorized capacity(fee}, and that by his/he*"eir signature(e)-on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my and and offi ial seal. <br />WNolmary <br />HEi01 AUNGEComiss€on # 2037468 Pu61€c - Calilorn€aSan Diego CountySignature <br />Comm, Expires Sep 13, 2t)f 7 + Signature of otary Public <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 Do ument <br />Title or Type of Document: 1 i Document Date: _Ait EJZ,E1Z01-4 <br />Number of Pages: Si ner(s) Other Aan Named Above: _ <br />Capacity(es) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: _ <br />Signer Is Representing: <br />Signer's Name: <br />Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />O Trustee ❑ Guardian or Conservator <br />❑ Other: _ <br />Signer Is Representing: _ <br />02014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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