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O.C. Art Cod Mies - Pemtit No. C-80-002 <br />Prfor EYx_perienc~ <br />1l, Project Name ~1A11h14rD ~Klrl ~{l~{rJ(o Datelsl~it=l99eZ <br />Project Owner N pq Q N <br />~~, <br />Brief Descriptio/~n of Project (include l/o~c ion and size) <br />~.I1D40U) I:OLORl11tp - (-O TA[J!Z cSTRlP ~/AIE OF i~JU~ l5U /~' ES <br />Contact Name E O Phone 8~6 -3567 <br />Ys <br />~vl~ioe~ ire T~rrrN/Jf-06 rC. <br />~ ~~ccEenanl U/7tFl~,~, <br />y0°~ OF T~ ~t,g~/b4'rroM <br />Project Name E ( #~ E /Datelsl lQq[ - /D~F~S£)lI~ <br />Project Owner SUNS D N/ ~ Wrt ATifO~J <br />Contact Name Phone Qo2 ~3 - ~3 ~ <br />Brief Description of Project 4include location d size) <br />K - ~~ 17. Ca . Wi~ 1 rJE. ~ l.taU` QKf~ OtJ <br />vflR,o S7~/rL s ~ T1f~ 6Ac~xu~ <br />+~ ~f~}A{Nb l~[ANS Tc !N!a E~rk~ ~P8't¢M~lTSe~11 <br />F ~ ~ Raknv t S~ OuoRsr~ Ae>=- F~.n,ugre <br />tdtrN ICE ire ~~t~ My / rPY, <br />The undersigned agrees to comply with all Rules and Regulation <br />Reclamation Act, the General Conditions of the Purchase Order <br />Conditions and all other requirem//en''''ts,,~~of~~these, d`ocu-ments: <br />Individual or Company Name ~-~6 i~{C1Cl <br />Professional Gert'rfication No.__ 0243$ <br />of the Colorado Surface Coat Mining <br />id the Purchase Order Terms and <br />.- tr - <br />Address l6~FJ ~ ~'~IQr /~L, cSt1l7E ~`~ <br />,~n- vEi2 ~ ~db2E~ <br />Phone 3c~.3 6a4 4335' <br />Pp. 1 of t r.Q. <br />RECEIVED <br />AUG 3 p 1995 <br />Division of Mrnerais d Gavlpgy <br />:;. <br />