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2003-12-22_REVISION - M1999042
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2003-12-22_REVISION - M1999042
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Entry Properties
Last modified
6/16/2021 2:14:42 PM
Creation date
11/21/2007 9:43:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1999042
IBM Index Class Name
Revision
Doc Date
12/22/2003
Doc Name
Transfer of permit & succession of operators application form
From
White Banks Inc. dba Mt. Sopris Stone
To
DMG
Type & Sequence
SO1
Media Type
D
Archive
No
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-5- <br />SUCCESSOR OPERATOR <br />~~Y'7U~Q{'1CJtZ. IFti•P I/1WV71f ~ .~'X~S ~'/+~C, K.~~ifL' ~L~S ~/r, C. <br />Name of Permittce Name of Successor <br />By~ <br />Signature of Officer <br />By ~i~l!-'1-~ ~~ <br />Signature of Officer <br />~S <br />T le of Officer <br />~~~~ . <br />Title o Officer <br />NOTARY FOR PERNIITTEE <br />State of w ~O rnnQ~~ ) <br />County of ~ %-t~ F, ~G~ ) <br />The foregoing instrument was aclmowledged before me this `~ day of 'c~P ~~ by <br />",e~ n Gddi'1 as ~ es. q of <br />.1 a.:, rJ~ eree, m~r(~-1e a Q (o_(; es'~e ~ ~Lc~ /LJh l'(e ('p~ n k s ~',~ G 0 /I <br />JACQUELINE S. DORITY Notary Public, <br />NOTARY PUBLIC My Commission <br />STATE OF COLORADO <br />Mr Gnmmi;.ion Erpirae: 0611012004 <br />NOTARY FOR SUCCESSOR <br />State of l rS~o{4~c~ ) <br />County of ~~~ ~~e.~o~ ) <br />The foregoing instrument was aclmowledged before me this ~=day of~ ce /v~ki~ .~P'~ ~ by <br />~/a V'e~ ~ ~4 C~o rl as ` ~ 5 . of <br />~cAGnc~ `fee.k. I'la~~~P`~ 1'l~~17~51~~-~/LJh(~_ r, ii~~ 1,n c. ~/~ <br />Notary Public ~ ~ y/ r/~- <br />JACOUELINE S. DORITY My Commission xpi -/~ ~~ <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />My Comfn:5s inn Frpires: 0611812004 <br />
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