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2018-10-26_REVISION - M1983164 (3)
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2018-10-26_REVISION - M1983164 (3)
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Entry Properties
Last modified
6/16/2021 2:27:03 PM
Creation date
10/31/2018 11:46:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983164
IBM Index Class Name
REVISION
Doc Date
10/26/2018
Doc Name
Application
From
Romeo Sand & Gravel, LLC
To
DRMS
Type & Sequence
SO3
Email Name
LJW
BJC
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned Gale Swafford [name of authorized person],in his/her <br /> capacity as 2 VJY\.Q, [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 Romeo Sand & Gravel, LLC [name of business <br /> organization],a(n) LLC [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-1983-164 (DRMS 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 /> ." t __ <br /> D <br /> Further,Affiant sayeth not. <br /> OCT2621) 15 <br /> Gale Swafford <br /> Affiant's Name Division of Reclamation, <br /> Mining&Safety <br /> AIZSL <br /> Signature <br /> STATE OF thrdo ) <br /> ss.: <br /> COUNTY OF ) <br /> 5:th <br /> The foregoing instrument was acknowledged before me this day of I • '. , a0`0 , <br /> by Gale Swafford as owfZ of Romeo Sand & Gravel, LLC <br /> Notary PublicP1�1 a e ti/ <br /> auierott <br /> My Commission Expires nl_9 7- <br /> LYNNAE SHAWCROFT (� <br /> NOTARY PUBLIC <br /> MinAffidavitAuthority.docx Rev.08/16 STATE OF COLORADO <br /> NOTARY ID 20074035945 <br /> MY COMMISSION EXPIRES SEPT.27,2019 <br />
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