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2021-01-28_REVISION - M1977451
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2021-01-28_REVISION - M1977451
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Entry Properties
Last modified
12/28/2024 6:25:10 AM
Creation date
2/1/2021 7:17:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977451
IBM Index Class Name
REVISION
Doc Date
1/28/2021
Doc Name
Executed SO
From
DRMS
To
SR-11 Mine
Type & Sequence
SO2
Email Name
SMS
DMC
Media Type
D
Archive
No
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Attest: <br /> Highbury Resources Inc. <br /> (Corporate Principal) <br /> 10708 South 1300 East, Suite 120 <br /> Sandy, UT 84094 <br /> (Business Address) <br /> B � (/UJ St/tL <br /> (Affix Corporate Sea]) <br /> Lexon Insurance Company <br /> (Corporate Surety) <br /> 10002 Shelbyville Road, Suite 100 <br /> Louisville, KY 40223 <br /> (Business Address) <br /> By oC <br /> Susan Ritter Sandra L. Fusinetti <br /> (Affix Corporate Seal) <br /> Executed this 2"d day of June , 20 20 . <br /> The rate of premium on this bond is $10.00 per thousand <br /> Total amount of premium charged, $ 650.00 <br /> (The above must be filled in by corporate surety) <br /> CERTIFICATE OF CORPORATE PRINCIPAL <br /> I, �� ttI�Y certify that I am the <br /> nn!! secretary, <br /> of the corporation named as principal in ti4le tL3 e within bond;that �-- , <br /> who signed the said bond on behalf of the principal,was then .�1l�r of said <br /> corporation; that I know his signature thereto is genuine; and that said bond was duly signed, sealed,and attested for and <br /> in behalf of said corporation by authority of its governing body. <br /> Corporate Seal /w� <br /> INSTRUCTIONS <br /> 1. The surety on the bond may be any corporation authorized by the Secretary of the Treasury to act as surety. <br /> 2. The full name and business or residence address of each individual party to the bond shall be inserted in the space <br /> provided therefor, and each such party shall sign the bond with his usual signature. <br /> 3. If the principals are partners, their individual names shall appear in the space provided therefor, with the recital that they <br /> are partners composing a firm, naming it,and that all members of the fine shall execute the bond as individuals. <br /> 4. As to the surety, and to the principal if a corporation,the name of the State in which incorporated shall be inserted in <br /> the space provided therefor, and said instrument shall be executed and attested under the corporate seal as indicated in <br /> the form. If the corporation has no corporate seal the fact shall be stated, in which case a scroll or adhesive seal shall <br /> appear following the corporate name. <br /> 5. The official character and authority of the person or persons executing the bond for the principal, if a corporation, shall <br /> be certified by the secretary or assistant secretary, according to the form herein provided. In lieu of such certificate <br /> there may be attached to the bonds copies of so much of the records of the corporation as will show the official <br /> character and the authority of the officer signing, duly certified by the secretary or assistant secretary, under the <br /> corporate seal,to be true copies. <br />
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