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2018-02-28_REVISION - M1987103
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2018-02-28_REVISION - M1987103
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Entry Properties
Last modified
6/16/2021 2:28:46 PM
Creation date
6/21/2018 1:00:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987103
IBM Index Class Name
Revision
Doc Date
2/28/2018
Doc Name
Request For Succession Of Operator
From
DRMS
To
Russell Larsen
Type & Sequence
SO4
Email Name
THM
BJC
WHE
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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o ' <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF UOQS; O ) <br /> ss. <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of J Linn r-_ , <br /> by� 'S`e�� •V-CcS esfl asC.-)l!! ' <br /> NOT PUBLIC <br /> My Commission expires: 01 <br /> JONIPATTON <br /> APPROVED: Noary Pjb�ic-S:a:e of CO1OraaO <br /> Notary ID 201W06UO <br /> State of Colorado My commission Expires Jan30 2 222 <br /> Mined Land Reclamation Board <br /> Division of Reclamation,Mining and Safety <br /> By: Date: <br /> Division Director <br /> M\mm\share\bondforms\Corporate Surety REVISED 25Ju12016 <br /> Page 6 of 6 <br />
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