2019-08-14_PERMIT FILE - M2019026

• Permit No: M2019026
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/14/2019
• Doc Name: Issuance/Final Decision Documents
• From: DRMS
• To: Michael Royer
• Email Name: ERR
• Email Name: GXB
• Media Type: D
• Archive: No

5
Signed and dated this day of
Warrantor
By
Title ���
NOTARIZATION OF WARRANTOR'S ACKNOWLEDGEMENT
STATE OF (j -,O�I, U
���� )ss.
COUNTY OF
The foregoing instrument was acknowledged before me this 3 day of
by j//�. C/�. �_r_"r_ ;� as G,-'/ 1 _��_) of
SAFIEH ARMAND
NOTARY PUBLIC I
STATE OF COLORADO
NO?ARV ID 20164035125 A PUBLIC
MY COMMISSION EXPIRES SEPTEM13ER 12 20?0
My Com �ssion Expires:
APPROVED:
STATE OF COLORADO
MINED LAND RECLAMATION BOARD
DIVISION OF RECLAMATION, MINING AND SAFETY
By:
Division Director
Date: - 9
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REV7SED 01'01 2003