Laserfiche WebLink
Sec. 18. EJfectice duty. This contract becomes effzeti~z as indicated bzlu~~. <br />.J If this contract becomes effective on the date BLdI signs the contract, BL~~t will check this box. <br />t_.I If this contract becomes effective only after certain conditions are met, BLM will check this bus, list the conditions below, and <br />indicate the effective date. <br />Sec. 19. Appeal. You may appeal any decision that BLM makes in regard to this contras[ under Parts 4 and 1840 of Title 43 of the Code <br />of Federal Reoulatioas. <br />The following parties have execuced this contract as of: <br />PURCHASER THE UN(TED STATES OF A~~fERfC.A <br />~l6ra ~ ~ ©r,,`~u~~ ~s By - ------ <br />(Individual or Firm Name) <br />(Address) ~ tAut ~rirzd Olticer)--- <br />--- . `~ 1 l =~ ~_ -~ ~ 8'_~y-- -- dos: ~' e~~tlrl~~r~_r <br />o A mb ~ - i ~ ode aria code) I ~ <br />~ ~ (Title) <br />(Si_na ore) ~ _ I ~-OG <br />(Date) <br />I I } uu are a corporation, aFti~ corporate seal here: <br />Title 13 U.S.C. Section f00 [, makes it a crime for any person knowingly or willfullc to make to anv department or aeencp of [fie Uniced <br />S[utzs any false, fictitious or fraudulent statements or rzpresen[ations as to any matter within its jurisdiction. subject to a tine of up to <br />5[0.000 and imprisonment up to 5 years. <br />the Pupdrs~urk Reduction Act uF 199i ly-I U.S.C'. 3501 et S.:i.% i RO'uTINE iISES: 3L..1 ~.cill transfer int~nna;i~.x~ om the reseed <br />requires us to inform you that ~ or the record itself to appropriate federal. state. local. or toreien <br />BL~I is collecting this information to process' }'our application <br />and effect a binding contract. <br />B L:bI ~~ill usa this information m identify and communicate ~~i[h <br />;tpplicanu. <br />lbu must respond to this rzyucst w ~e[ a benefit. <br />a_encies, ~ehzn rclz~an[ to criminal. civil, or rcaulator} <br />im es[isation; or prosecutions. <br />EFFECT OP A'OT PROS"IDfAG IA'FOR1(.-y flpA': If ion do not <br />pru~idr this inforntuiun w BLAI. ~~e ~~ill not h~ :bir to pr,rc_,. <br />our application fur a amn:;c[. <br />A federal a~enn~ mad not conduct or sponsor. and you are no[ ~ SL:~! estimutas [he public repurtim~ burJen for [his form at an <br />rzyuirzd [u respond w, an in formation collection ~~hich does no[ ~ a~zraea oI 3U minutes per rzspumz. includine tha tuna i~~r <br />hara a current!} valid O~IB control number i rzsies~in~ instructions. ga[hzrin~ and main[ainina data. and <br />.AI-I FIORITS~ 30 l'. S.C 601 et s. q.: I3 CFR 3600 i comple[ine and res ieu ina [he form. Direct commenti reaar dine <br />the burden esu m;ne or am other aspect ul' [his form t~~ 1~. ~. <br />PRI\CIPAL PURPOSE: BLM uses this information [o idan[ifc ~ Department of [he Interior, Bureau of Land \i anaeem ant. Bureau <br />[he p;trezs entzrin_ into contacts for disposin_ of mineral Information Collzetien llearance Ofticer_ i IOOC-OI U31. Itii9 C <br />m umrials. St.. A.l1'.. Aluil Stop d01 LS. ACashine[on. U.C. 3U_'~U <br />EXHIBIT N <br />