2024-04-08_REVISION - M2021052

• Permit No: M2021052
• IBM Index Class Name: Revision
• Doc Date: 4/8/2024
• Doc Name Note: ‎(Balance Due $29.00)‎
• Doc Name: Request For Succession Of Operator
• From: W.W. Clyde & CO
• To: DRMS
• Type & Sequence: SO1
• Email Name: ACY
• Email Name: THM
• Email Name: SMS
• Email Name: EL1
• Media Type: D
• Archive: No

990743 10/24/2023 01:53:51 PM Page 6 of 13
Jacklyn K. Harmon, Garfield County, Colorado
Rec Fee: $73.00 Doc Fee: $0.00 eRecorded
Required Signatures
Surviving Entity:W. W. Clyde & Co.
Name:Dustin Olson Title:President
Signature: Date:September 21, 2023
Non-surviving Entity:
IHC Scott, inc.
Name:Brandon Hale Title:Secretary
Signature:134L Date:September 21, 2023
Non-surviving Entity:
Name: Title:
Signature: Date:
Non-surviving Entity:
Name: Title:
Signature: Date:
Non-surviving Entity:
Name: Title:
Signature: Date:
Non-surviving Entity:
Name: Title:
Signature: Date:
Include complete signatures for any additional Business Entities that have been named in an attached Exhibit.
Under GRAMA(63G-2-201},all registration information,maintained by the Division is classified as public record. For confidentiality purposes,
you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
02/19