Laserfiche WebLink
Affidavit of Authority to Execute Financial Warranty Documents <br /> � f <br /> Before me this day,the undersigned_/ C d__R ►� [name of authorized person],in his/her <br /> capacity as O he`r'A+'O tr [title of authorized person]("Affianf'),personally appeared and,being first duly <br /> sworn upon oath said: <br /> 1. This affidavit is being executed and submitted on behalf of M i L a e 1 ROr [name of business <br /> organization],a(n) 0/�J` b r [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' 2 0 1 q-0269DRMS 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 /> Further, Affiant sayeth not. <br /> MI c t-�,(X e yet— <br /> Affiant's Name <br /> Signature <br /> STATE OF C� } <br /> ss.: <br /> COUNTY OF ) <br /> The foregoing instrument was acknowledged C g g �ed before me this�day of l f <br /> by i C e��� �oy V- as O felt-q+OV- of�1 <br /> Notary Public <br /> My Commission Expir s &S=� <br /> MinAffidavitAuthority.docx Rev.08/16 JEAN COLLIER <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20134019694 <br /> My Commission Expires:May 11,2021 <br />