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2018-02-28_REVISION - M1978323 (3)
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2018-02-28_REVISION - M1978323 (3)
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Entry Properties
Last modified
6/16/2021 2:23:19 PM
Creation date
6/21/2018 1:00:43 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978323
IBM Index Class Name
Revision
Doc Date
2/28/2018
Doc Name
Request For Succession Of Operator
From
DRMS
To
Russell Larsen
Type & Sequence
SO2
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 <br /> ss. <br /> COUNTY OF M-C-[,._ ) <br /> The foregoing instrument was acknowledged before me this l`'( ` day of 7y LUh t— , <br /> tab` Snell +I• as�hle 0 c. of �t`cjuf'�.CA�`�'r'"�,Ll-C <br /> Y <br /> NOTAR UBLIC <br /> My Commission expires: �d <br /> JONI PATTON <br /> APPROVED: :NO-taryPjb4-S:a:eofCoor9CC <br /> State of Colorado tary ID xpiresJan 3�sslon Expires Jan 30.2022 <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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