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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 C O L O R A D O <br /> Denver,Colorado 80203 <br /> Phone:(303)866-3567 Document Imaging CD/DVD FEB 19 2019 RECLAMATION <br /> FAX:(303)832-8106 I M 1 N 1 N G <br /> REQUEST FORM pry�p,N 0F REct.AMq ^s`Y <br /> kMW AND S,AFETy <br /> EION SAFETY <br /> Request for the DRMS document images on the following DRMS Permit file(s):0 <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 /> f <br /> CD a $5.00 per disk DVD @ $20.00 per disk <br /> Please 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.nuning.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 /> 1. 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 fo, <br /> damages of any kind arising out of the use of data or information provided by the DRMI S, including the installation of the data o: <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 DRNIS, its officials, officers and employees from any liabillt� <br /> arising out of the use of the data/information provided. <br /> Customer Mailing and Contact Information: <br /> DRMS use only <br /> Print Name: k.' /�!42 a /7 e� <br /> CD/DVD created and <br /> Company: tested by: <br /> / <br /> Address: , / /� <br /> �� �L' 6��,�'�'�T _�/7 G'V1ry <br /> Date: lIq <br /> Phone: �' r <br /> Signature: 6 Vz �.. i <br /> Office of <br /> Office of <br /> relined Land Reclamation Denver Grand junction Durango Active and Inactive Mines <br />