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PERMFILE44457
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PERMFILE44457
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Entry Properties
Last modified
8/24/2016 10:46:54 PM
Creation date
11/20/2007 11:55:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001069
IBM Index Class Name
Permit File
Doc Date
8/22/2001
Doc Name
PROOF OF MAILING FOR FN M-2001-069 DEL NORTE WEST VALLEY PIT
From
ASPHALT CONSTRUCTORS
To
DMG
Media Type
D
Archive
No
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~~3 ~~eZ <br />• REVISED EXHIBIT Q • <br />PROOF OF DELIVERY TO COUNTY CLERK AND RECORDER <br />Received by , Title Date a'_ ~I~~Z~/ <br />AFFIDAV <br />BE IT ACKNOWLEDGED, that Todd Stockebrand, of Alamosa, Colorado, the undersigned <br />deponent, being of legal age, does hereby depose and say under oath as follows, I personally <br />delivered a copy of the following revised exhibits and schedules: <br />Page 2 of the main application line 9 revising Location information <br />Revised Schedule S <br />Revised Schedule S General Agreement between ACI and Doug McDonald <br />Revised Schedule S General Agreement between ACI and Xcel Energy <br />of the Regular Operation (112) Reclamation Permit Application form to the Rio Grande County <br />Clerk and Recorder at 600 Cherry, County Courthouse Annex, Del Norte Colorado and requested <br />that they retain it on file for no less than 6 months unless notified otherovise. <br />And I affirm that the foregoing is true except as to the statements make upon information and <br />belief, and as to those 1 believe to be true. <br />Witness my hand under the penalties of perjury this ~~ day of ~uSf 2001. <br />Signature <br />State of Colorado <br />County of Alamosa <br />ON~ a U/ before me, Todd Stockebrand personally appeared, personally known to <br />me, to the person whose name is subscribed to the within the instrument and acknowledged to <br />me that he executed the same is his authorized capacity, and that by his signature on the instrument <br />the person, or the entity upon behalf of which the person acted, executed the instrument. <br />Witness my hand and official seal. <br />Signature r .Cc. e,~o- <br />M ' c'omm~ssion Expires September 17, 2003 <br />,, ~ .~.~ <br />~~'... <br />~F•;Oti-~ ~~~ <br />
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