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2022-02-08_REVISION - M1990144 (3)
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2022-02-08_REVISION - M1990144 (3)
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Entry Properties
Last modified
2/10/2022 8:51:57 AM
Creation date
2/10/2022 8:37:52 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990144
IBM Index Class Name
Revision
Doc Date
2/8/2022
Doc Name
Issuance Documents
From
DRMS
To
Fremont Paving & Redi Mix, Inc
Type & Sequence
SO4
Email Name
JPL
JLE
SMS
AWA
Media Type
D
Archive
No
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NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF LOIVO'dlo <br /> O^� <br /> COUNTY OF )sS. <br /> The foregoing instrument was acknowledged before me this- �/ - day of,A�4✓w� <br /> by �o�l a�r� �ry as �5 tom` r o aving a LUX, Inc <br /> Cooper Trahern r - <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID#20174 snu NOTAIN PUBLft <br /> MY COMMISSION EXPIRES 12/1512025 <br /> My Commission expires: <br /> APPROVED: <br /> State of Colorado <br /> Mined Land Reclamation Board <br /> Division of Reclamation, Mining and Safety <br /> B Date: <br /> Division Director <br /> M-.Wnlsharel3ondforms%Corpom1eSurety REVISED25Ju12016 <br /> Page 6 of 6 <br />
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