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2018-02-28_REVISION - M1990094 (7)
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2018-02-28_REVISION - M1990094 (7)
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Entry Properties
Last modified
6/16/2021 2:12:49 PM
Creation date
6/21/2018 1:00:27 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990094
IBM Index Class Name
Revision
Doc Date
2/28/2018
Doc Name
Request For Succession Of Operator
From
DRMS
To
Russell Larsen
Type & Sequence
SO1
Email Name
ACY
BJC
WHE
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF C��OQO�r3 ) <br /> ss. <br /> COUNTY OF Mdtp- ) <br /> The foregoing instrument was acknowledged before me this� -t day of-) t.Lr1 , <br /> 49A V,1 QQCotrp i+� LLL'- <br /> by21,,,. 1j A. L.C,CSGn ICLCof L�b0. 1 �t1Slt�u.C''G�W�- <br /> NOTA Y PUBLIC <br /> My Commission expires: <br /> APPROVED: JONI PATTON <br /> Notary Pib.ic—s:a:e of Cdoredo <br /> State of Colorado Notary commission <br /> 0 <br /> My CommSsion Expires Jan 30.2022 <br /> Mined Land Reclamation Board <br /> Division of Reclamation,Mining and Safety <br /> By: Date: <br /> Division Director <br /> M\min\share\bondforms\Corporate Surety REVISED 25JuI20t6 <br /> Page 6 of 6 <br />
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