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2022-01-11_PERMIT FILE - M2022002 (2)
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2022-01-11_PERMIT FILE - M2022002 (2)
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Last modified
1/14/2025 3:14:57 AM
Creation date
1/12/2022 9:28:07 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2022002
IBM Index Class Name
Permit File
Doc Date
1/11/2022
Doc Name
Application
From
ACA Products, Inc
To
DRMS
Email Name
DMC
THM
AWA
Media Type
D
Archive
No
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SIGNATURE AND ACKNOWLEDGMENT <br /> October 29,2019 4 Y a zyk <br /> Date Elizab th Jean Hogan <br /> 14100 County Road 140 <br /> Salida, CO 81201 <br /> Phone: 719-539-2084 <br /> Email: <br /> State of Colorado <br /> County of Chaffee <br /> This document was acknowledged before me on October 29, 2019, by Elizabeth Jean Holman, <br /> Principal. <br /> GREG POWELL <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> (Seal, if any) NOTARY 1D 199MI0245 <br /> MY COMMISSION EXPIRES,TUNE 20,2020 S i e f Notary <br /> This document prepared by: Gres Powell, Esq.,417 West 1" Street P.O. Box 1380 Salida.CO 81201 <br /> IMPORTANT INFORMATION FOR AGENT <br /> Agent's Duties <br /> When you accept the authority granted under this power of attorney, a special legal relationship is <br /> created between you and the principal. This relationship imposes upon you legal duties that continue until <br /> you resign or the power of attorney is terminated or revoked. You must: <br /> (1) Do what you know the principal reasonably expects you to do with the principal's property or, if <br /> you do not know the principal's expectations,act in the principal's best interest; <br /> (2)Act in good faith; <br /> (3) Do nothing beyond the authority granted in this power of attorney; and <br /> (4)Disclose your identity as an agent whenever you act for the principal by writing or printing the name <br /> of the principal and signing your own name as"agent"in the following manner: <br /> Principal by(Your signature)as agent <br /> Unless the special instructions in this power of attorney state otherwise,you must also: <br /> (I)Act loyally for the principal's benefit; <br /> (2)Avoid conflicts that would impair your ability to act in the principal's best interest. <br /> (3)Act with care,competence,and diligence; <br /> (4) Keep a record of all receipts.disbursements.and transactions made on behalf of the principal: <br /> (5) Cooperate with any person that has authority to make health care decisions for the principal to do <br /> what you know the principal reasonably expects or, if you do not know the principal's expectations,to act <br /> in the principal's best interest: and <br /> (6) Attempt to preserve the principal's estate plan if you know the plan and preserving the plan is <br /> rnncictant■with thn ...-.n......,i'� 1..,�r :..s......,.« <br />
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