2021-05-04_PERMIT FILE - M2021029

• Permit No: M2021029
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/4/2021
• Doc Name: Application
• From: Phillips County
• To: DRMS
• Email Name: BFB
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

IN WITNESS WHEREOF, Lessor and Lessee, by their signatures below, agree to the terms of this Lease:
�b By: _ rZ,1
Si ature Date
Printed Name Title
STATE OF COLORADO BY THE
STATE BOARD OF LAND COMMISSIONERS
By:
Benjamin Teschner - Solid Minerals Manager
Date:
(Seat)