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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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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned Russell A Larsen [name of authorized person],in his/her <br /> capacity asChief Operating Officer [title of authorized person]("Affiant"),personally appeared and,being first duly <br /> sworn upon oath said: <br /> 1. This affidavit is being executed and submitted on behalf of Kilgore companies,LLC dba Elam Construction [name of business <br /> organization],a(n) Limited Liability Company [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 /> M-1986-160 (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 /> Russell A Larsen <br /> Affiant's Name <br /> Signature <br /> STATE OF Colorado ) <br /> ss.: <br /> COUNTY OF Mesa ) <br /> The foregoing instrument was acknowledged before me this 1C day of <br /> by Russell A Larsen as Chief Operating Officer of Kilgore Companies,LLCdba Elam Construction <br /> Notary Publi <br /> My Commission Expires <br /> -mot <br /> MinAffidavitAuthority.docx Rev.08/16 JONI PATTOf <br /> Notary Polntc-s:a:e of D <br /> Notary ID 201M005 <br /> My Commission Expires Ja <br />
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