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2018-02-28_REVISION - M1984001 (3)
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2018-02-28_REVISION - M1984001 (3)
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Entry Properties
Last modified
6/16/2021 2:28:46 PM
Creation date
6/21/2018 1:01:00 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984001
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
ACY
BJC
WHE
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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SIGNED, SEALED AND DATED this day of IZt 2,01e <br /> Operator (SEAL) <br /> By: Russell A. Larsen <br /> Title: Chief Operating Officer <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OFO\O�C�G b ) <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me-thc4L- day of <br /> by iiS ��A • �UY1 as�h�e��� � 1Cf-of <br /> Notary Public <br /> My Commission Expires t) 'p 1>p.1 2 <br /> STATE OF COLORADO JONI°AT,ON <br /> DEPARTMENT OF NATURAL RESOURCES NOahimar ID2013e0fCo0rab <br /> Notary ID 2Gt 3;:.05040 <br /> MINED LAND RECLAMATION BOARD My Commission Expires Jan 30.2022 <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />
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