APPCOR10336

• Permit No: C1980002
• IBM Index Class Name: Application Correspondence
• Doc Date: 9/6/1995
• Doc Name: MEMO PURCHASE ORDER CONTRACT OC 2 SOAP PN C-80-002 CERTIFICATION FOR PERSONAL SERVICES CONTRACTS
• From: DMG
• To: AURORA RUIZ-HERNANDEZ
• Media Type: D
• Archive: No

' O.C. #2 Coal Mine -Permit No. C-BO-002
Prior Experience
1 Project Name Datelsj
Project Owner
Contact Name
Brief Description of Project linclude location and size)
Phone
2 Project Name Datelsl
Project Owner
Contact Name
Phone
Brief Description of Project (include location and size)
The undersigned agrees to comply with all Rules and Regulations of the Colorado Surface Coal Mining
Reclamation Act, the General Conditions of the Purchase Order and the Purchase Order Terms and
Conditions and all other requirements of these documents:
Individual or Company
Professional Certification No.
Date
Address
Phone
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