2006-10-04_REVISION - M1991146 ‎(4)‎

• Permit No: M1991146
• IBM Index Class Name: Revision
• Doc Date: 10/4/2006
• Doc Name: S.O. Approval
• From: DRMS kap
• To: ZMK Mine Construction Inc.
• Type & Sequence: SO1
• Media Type: D
• Archive: No

_' Released and Make Payable Only To:.
ZrIIC Mine Construction„ Inc.
Under penalties of penury; I certify (1) that the numtier shown ~ .
on this,fdrm 18 my, correct lazpayer identification number;'and~'. ,
j2) that I am not subject to backup withholding either tiecau"se I~
have not been notifiedYhaJ I arti subject to backup withholding
as a result of a failure to report'all inteiest'or dividends,br the
Internal Revenue Service has notified me that I am no longer
subject to backug,Wifhbe ing. ~ -
SIGNATURE // ~r
Ronald W. Cattany,Director, ivision
Safety`, Office of Mined Land Reclamatiot
State o~EC.vRt7~~uDDI710N3 TO PRINCIPAL- ~ -
DATE ADDED AMOUNT` INITW.S; NEW BALANCE
., i.
INTEfl EST PAYMENT flECOflD
ICOI 3 ~ CIRCLE RENEWAL DATESI
DATE DME _,gMOUNT CHECK NO.
PAIp PAID TO vui