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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RECEIVE <br /> 1313 Sherman St.,Room 215 Q& <br /> Denver,Colorado 80203 p 0 1 O'o N OF <br /> Phone:(303)866-3567 Document Imaging CD/DVD FEB 19 2019 !RECLAMATION <br /> FAX:(303)832.8106 REQUEST FORM M I&— <br /> N OF RECLAMA SAFETY <br /> MWM AND SAFE Iy <br /> Request for the DBMS document images on the following DRMS Permit file(s): <br /> 1) lVjq27-102) _ 3) - 4) <br /> The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br /> this form with your payment to DRMS. if a CD is requested and the permit is too large for a CD, you will be called. <br /> CD a $5.00 per disk DVD @ $20.00 per disk <br /> nPlease check if you want a copy of the Directions for Use of CD/DVD <br /> The Permit File document images can be viewed in the reception area of the DRMS office, online at www.mining.state.co.us, or <br /> they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br /> Basic Instructions: <br /> l. Insert CD/DVD into your disk drive <br /> 2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br /> 4. Laserfiche will Load, Opening the Start Page <br /> 5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br /> DRMS cannot provide computer related support. <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user f& <br /> damages of any kind arising out of the use of data or information provided by the DR-MIS, including the installation of the data ol <br /> information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br /> without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability <br /> and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user': <br /> sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liability <br /> arising out of the use of the data/information provided. <br /> Customer Mailing and Contact Information: <br /> 1 DRMS use only <br /> Print Name: <br /> CD/DVD created and <br /> Company: / tested by: <br /> Address: <br /> ' C Q �/ Date: <br /> Phone: <br /> 5 <br /> Signature: G l, d i <br /> Office of Office of <br /> Mined Land Reclamation Denver Grand Junction Durango Active and Inactive Mines <br />