PERMFILE49844

• Permit No: M2005066
• IBM Index Class Name: Permit File
• Doc Date: 1/3/2006
• Doc Name: Letter of Objection
• From: DMG
• To: Mr. Alfredo Ramirez
• Media Type: D
• Archive: No

AUTHORIZATION TO REPRESENT A PARTY
(Please Type Or Print The Requested Information)
SIGNATURES MUST BE IN BLUE INK
I
(person's name) (tide)
of (name of company, association, organization, etc.) am
authorized to delegate , a
(person's name) (consultant, etc.)
to represent (name of person, company, association, organization,
etc.) at the Pre-hearing Conference and(or Hearing before the Mined Land Reclamation Boaid in
this matter.
SIGNED AND DATED THIS DAY OF
Authorized Signature (must be signed in blue ink)
Title:
State of _
County of
ss
If corporation attest (seal)
The foregoing instrument was aclmowledged before me this
by
as
of

Notary Public
My commission expires: _
SIGNATURES MUST BE 7N BLUE INK
day of
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