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2021-08-10_REVISION - M2000118 (2)
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2021-08-10_REVISION - M2000118 (2)
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Entry Properties
Last modified
12/28/2024 3:28:50 PM
Creation date
11/1/2021 11:46:27 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2000118
IBM Index Class Name
REVISION
Doc Date
8/10/2021
Doc Name
Request For Succession Of Operator
From
APC Southern Construction CO
To
DRMS
Type & Sequence
SO2
Email Name
JPL
JLE
AWA
SMS
Media Type
D
Archive
No
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T-380 p0005/0006 F-200 <br /> 07-092 21 08:39 FROM- <br /> Notice: <br /> Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or <br /> acknowledgment of each individual causing such delivery,under penalties of perjury,that such document is <br /> such individual's act and deed,or that such individual its good faith bolieves such document is the act and deed <br /> of the person on whose behalf such individual is causing such document to be delivered for filing,taken in <br /> conformity with the requirements of part 3 of article 90 of title 7,C.R.S.and,if applicable,the constituent <br /> and that such individual i good faiththe facts stated in such <br /> document sae t true andsuch organicdatute%ocument eompl es with the requirements of thatteves Part,he constituent documents, <br /> _ ._docume <br /> and the organic statutes. <br /> This perjury notice applies to each individual who causes this document to be delivered to the Secretary of <br /> State,whether or not such individual is identified in this document as one who has caused it to be delivered. <br /> S. The true name and mailing address of the individual causing this document to be delivered for filing are <br /> Latini Melissa <br /> (Lust) (First) (dliddle) (848,0) <br /> 1401 Lawrence Street, Suite 2300 <br /> (Stresi cumber mid rrame or Post Pitice Box L jornwrion) <br /> Denver CO 80202 <br /> Ply) USA te) (zip/pastel Code) <br /> (provinee-if applicable) (Country) <br /> 1/f applicable,adopt die follnwrbg s14i6nreni by marking the bttr and iaelnde nit altachnrenr.) <br /> This document contains the true name and mailing address of one or more additional individuals <br /> causing the document to be delivered for filing. <br /> Disclaimer: <br /> are not intended to provide legal,business or taz advice, <br /> This form/cover sheet,and any related instructions. <br /> and are furnished without representation or warranty. While this form/aover sheet is believed to satisfy <br /> minimum legal requirements as of its revision date,compliance with applicable law,as the same may be <br /> amended from time to time,remains the responsibility of the user of this form/cover sheet. Questions should <br /> be addressed to the user's legal,business or tax advisor($). <br /> Page 4 of 4 Rev.5/29/2007 <br /> ML-P,GE%UOM <br />
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