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REV01522
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REV01522
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Entry Properties
Last modified
8/25/2016 12:59:06 AM
Creation date
11/21/2007 8:53:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
Revision
Doc Date
11/8/2004
Doc Name
Record Title Assignments Approved Lease Surety Bonds Accepted (Faxed)
From
BLM
To
Lodestar Energy Inc
Type & Sequence
SO3
Media Type
D
Archive
No
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Nov-O9-04 03:09pm From-Jackson KeIIY PLLC 303 390 0171 1-453 P.011/011 F-210 <br />~acxoutnsr>ts, fibs Un. --iced 5ta~es 7nrlstee. or arty .person ~mpioyed m 'tire -K-R := ~.. <br />.Office offhe Un~ed States Tnistee. <br />9. That I have received and will complete the following forms fr~n the Ofd of <br />the United States Trustee: Application Form, Form SF [i6, fingerprint cants, <br />Form i-g0, and Tax Check W giver Form. A background check based on the <br />forms submitted vlr~i bs completed and wntinued eligibility is contingent <br />upon an affirmative recommendation. <br />10. That 1'wili promptly advise the Office of the Unified States Trustee of any <br />circumstances that muse the foregoing certifications to change. <br />Dated this 31 day of January, 2005. <br />WIUAM D. BISi-tOP'iRUSTEE, AFFiANT <br />STATE OF KENTUCKY ) <br />SS. <br />COUNTY OF FAYETTE ) - <br />Subscribed, swum th and aclmowledged before me by WILLIAM ~. BISHOP <br />TRUSTEE, on this the Jh' day of JANUARY, 2003. <br />;~ ,~ .i <br />NO P BL1C,S'i'ATEA GE,KY <br />My commission expires: ~~~~ <br />... <br />.;. <br />
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