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2017-11-27_REVISION - M1979181
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2017-11-27_REVISION - M1979181
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Entry Properties
Last modified
6/16/2021 2:28:46 PM
Creation date
12/1/2017 2:22:37 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979181
IBM Index Class Name
Revision
Doc Date
11/27/2017
Doc Name Note
Complete
Doc Name
Application
From
42 Mining Company Ltd.
To
DRMS
Type & Sequence
SO4
Email Name
THM
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 Mickey W TiW [name of authorized <br />person], in his/her capacity as rr-d-- OW Emaowe aft- [title of authorized prion] ("Affiant"), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of 42 Mining company Ltd I'name <br />of business organization], e(n) '"M kbft-vwa _- - flegsl form of business organization, <br />e.g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />" Cy'j• <br />2. It is in the interest of the Company to execute certain financial wanurty documents associated with file <br />number wtno-rat (DAMS file numbers which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ("Financial <br />Warranty Documents"). <br />3. Affiant is duly audmrimd to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant Is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />S. Affiant wi11 inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not.. <br />Mickey W. Tiner <br />AfBant's Name <br />Signature <br />STATE OF 1 C"AA-ha ) <br />COUNTY OF <br />RECEIVEp <br />DEC 112015 <br />Division of Reclarr:860n, <br />Mining & Safety <br />Tiro Ampmg instrument was Wmowkdged before me dus of 0 r* M --�I' l .� <br />by Mrc"i LtJ_ i 1NUL-.: i /tis9Lm t'/MeMP— 4-2-^ IAI - AAS Op,AN/ LTb <br />Note:S�6ay P.M."57QZZ1 <br />MyCmmiasim Evia s • <br />13/18 VY�Oi.FE <br />NOTARY PuBt m <br />VKM Of CUORM* <br />wWTMY 1D 200441]01475 <br />
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