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PERMFILE67840
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PERMFILE67840
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Entry Properties
Last modified
8/24/2016 11:13:32 PM
Creation date
11/20/2007 10:05:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2000158
IBM Index Class Name
Permit File
Doc Date
4/16/2001
Doc Name
AUTHORIZATION TO REPRESENT A PARTY
Media Type
D
Archive
No
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<br />fiECEIVE® ~UTHORIZ~TIO~i TO REPRESENT .~ PARTY <br />MAY 2 2 2001 (please Tvpe Or Print The Requested Information) <br />Division of Minerals and Geology <br />S[G~~.~TPRES MUST BE L~' BLLE I~6 <br />!Person'; Namz) (Tula) <br />r <br />of (name of company, association, oreaniza[ion, etc.) am <br />authorized to delegatz~~ (I3- L~(,() ~) Ol/It-~.~_, a ~ ~U ~ n~-2~ <br />(Person's Name) (Consultant, etc.) <br />to represent ~ (name of person, company, association, <br />organization, etc.) at the Pre-hearing Conference and/or Hearing before the Mined Land Reclama[ion <br />Borad in this matter. Representative's phone number (~ 7G1 ~- ~-~j~ ~ ,and address <br />(Street Address) (City) (State) (ZIP) <br />SIGNED AND DATED THIS ~ /~I DAY OF C`"~ ~~» <br />.. <br />C L If corporation attest (seal) <br />Au[harized Sig re (must be signed in blue ink) <br />The f r , instrumen as snow edsed bzfor this ~/ day of ~d~, <br />.` <br />by Q as <br />Arlene L. <br />Clinkinbeerd <br />j f <br />NOTARY P IC /,{/~ T <br />My Commission expires: ~` v ~~(/~ <br />NATURES ~[GST BE IN BLUE INK <br />AL`os OymmUwhonxm,on io Rcprcs.~, a Panr.COc <br />
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