Laserfiche WebLink
1.the undersigned being the N0I holder or the person authorized to sign on behalf of the NOI <br /> holder, declare that the information given in this N0I form is true and correct <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this day of : L �0 <br /> (date) month) (year) <br /> Signature of NOI holder or person authorized to sign: L, <br /> Name (typed or printed): h CC�s .\L N,; <br /> Title/Position: �\ k&J 6 f <br /> M:\min\oss\slb\MineraisForms\ProspectForm2 <br /> 30 Aug 2017 <br /> 5 �u� U <br /> NARY.!O MARVEL <br /> NOTARY PUBLIC <br /> STATE OF coLORADO <br /> �My 1,2021 <br /> Form 2—Public File Page 14 of 14 <br />