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2022-01-11_REVISION - M1977392
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2022-01-11_REVISION - M1977392
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Entry Properties
Last modified
1/19/2022 7:44:02 AM
Creation date
1/18/2022 3:31:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977392
IBM Index Class Name
Revision
Doc Date
1/11/2022
Doc Name
Issuance Documents
From
DRMS
To
General Shalew Brick, Inc
Type & Sequence
SO1
Email Name
SMS
AME
MAC
Media Type
D
Archive
No
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SIGNED, SEALED AND DATED this day of _tf <br /> Opera r (SEAT:,) <br /> By: &C 0 277n&8e <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> n`1 <br /> STATE OF W l {_ ) <br /> ss.: <br /> COUNTY OF -A A M C ) <br /> The foregoing instrument was acknowledged before me this &\dayof r , <br /> by QC�, as QtT� 1� of rC <br /> r <br /> MELISSA E HERNANDEZ Notary Publi <br /> NOTARY PUBLIC <br /> STATE OF COLORADO My Commission Expires ( 1[, •a- <br /> NOTARY ID 19954007040 <br /> MY COMMISSION EXPIRES APRIL 7.2= <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By. bate Executed: l ' 1— <br /> Division Director <br /> Rev.05.1? <br /> - ]3 - <br />
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