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2017-08-28_REVISION - M1982020 (3)
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2017-08-28_REVISION - M1982020 (3)
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Entry Properties
Last modified
6/16/2021 2:26:02 PM
Creation date
9/12/2017 11:31:00 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982020
IBM Index Class Name
REVISION
Doc Date
8/28/2017
Doc Name
Application
From
Aspen Mineral/ALSH
To
DRMS
Type & Sequence
SO3
Email Name
DMC
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 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 Q>r\ o; ) <br /> On S 2S (l�1 before me, c-, rN <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared ���C�o�es <br /> Names of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br /> subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/her/their authorized capacity(ies),and that by his/her/their signature(s)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 /> HOLLY J.GLAVINIC <br /> NotaryPublic-California Z WITNESS my hand and official seal. <br /> z _ San Diego County a <br /> Commission#21W85 <br /> My Comm.Expires Mar 25,2021 J <br /> Signature <br /> Si nature of Notary 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- �'�+ F� ���,.i c <br /> ����� r �-� - ' Document Date: <br /> Number of Pages: l Signer(s) Other Than Named Above: b- V.t1 c=,, <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): <br /> ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General <br /> ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact <br /> ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator <br /> ❑ Other: ❑ Other: <br /> Signer Is Representing: 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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