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2022-02-08_REVISION - M2010054
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2022-02-08_REVISION - M2010054
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Entry Properties
Last modified
2/10/2022 8:54:44 AM
Creation date
2/10/2022 8:36:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2010054
IBM Index Class Name
Revision
Doc Date
2/8/2022
Doc Name
Issuance Documents
From
DRMS
To
Southway Construction CO, Inc
Type & Sequence
SO1
Email Name
JPL
JLE
SMS
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned I O C K I, T o".-r H w A1r y [name of authorized person],in his/her <br /> capacity as. -(k-EA De r- [title of authorized person]("Affiant"),personally appeared and,being first duly <br /> sworn upon oath said: <br /> 1. This affidavit is being executed and submitted on behalf of SowrkwAm C0=kQat0rJ 00 .[name of business <br /> organization],a(n) _C E7c�P o r`at.'�i o.' [legal form of business organization,e.g.,corporation, <br /> partnership,limited liability company,etc.],in good standing in the State of Colorado(the"Company"). <br /> 2. It is in the interest of the Company to execute certain financial warranty documents associated with file number <br /> l o- (DRMS file number),which are required by the Colorado Mined Land Reclamation Board and <br /> Division of Reclamation Mining and Safety pursuant to Colorado law("Financial Warranty Documents"). <br /> 3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to bind the Company to <br /> the same. <br /> 4. Affiant is not prohibited or Iimited by the Company's governing documents or by any applicable law from executing the <br /> Financial Warranty Documents. <br /> 5. Affiant will inform the Division of Reclamation Mining and Safety within thirty(30)days in the event that his/her <br /> authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br /> Further,Affiant sayeth not. <br /> (Zo C yc_Z. 5o ul-r t t w A - <br /> Affiant's Name <br /> Si store <br /> STATE OF COLo &ADO ) <br /> COUNTY OF A L AM OS'A ) <br /> The foregoing instrument was acknowledged before me this -Log day of /VOd E0A 13 _, g2=f , <br /> by O +cL o6vr"w6d as s of So�r"w s#rewak Co .,-T-wc- <br /> Notary Public A4W (/7 5rr <br /> My Commission Expires V , ;20 <br /> MinAffidavitAuthority.docx Rev.08/16 <br /> DONNA R.MCCARROLL <br /> NOTARY PUBLIC <br /> No ,-j 16 199 �yo/$Vrl! <br /> 1. 1 �V+iiliu»lUll LAIJIJCZ IV �u �+..�• <br />
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