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_PERMIT FILE - M2019035
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_PERMIT FILE - M2019035
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Entry Properties
Last modified
9/4/2020 1:12:44 AM
Creation date
8/16/2019 3:00:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2019035
IBM Index Class Name
Permit File
Doc Name
Completeness Response
From
Martinez Western Constructors
To
DRMS
Email Name
GXB
ACY
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> [before me this day,the undersigned Paul Mat-nez [name of authorized person], in his/her <br /> ca acit as Vice President title of authorized person]("Affiant"),personally appeared and,being first duly <br /> P Y re -------- - - -- - - - L P ]("• ) P Y PP b Y <br /> sworn upon oath said: <br /> 1. '['his affidavit is being executed and submitted on behalf of Martinez Western Constructors Inc. [name of business <br /> organization],a(n) _Corporation ___[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 /> 2019-035 (DBMS 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 /> Paul Martinez <br /> Affiant's Name I <br /> Signature <br /> STATE OF <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this.31� fY day of <br /> by Paul Martinez as Vice President _of Martinez Western Constructors Inc. <br /> Notary Public <br /> My Commission Expires <br /> MinAflidavitAuthurity.docx Rev.08/16 ; ATIE SUE GONZALES <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20154036850 <br /> 1MYCOMMISSION EXPIRES SEPTEMBER 17,2019 <br />
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