1996-05-20_REVISION - M1981302

• Permit No: M1981302
• IBM Index Class Name: Revision
• Doc Date: 5/20/1996
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO2
• Media Type: D
• Archive: No

-5-
Permittee and Successor hereby request the State to consent to the assignment
of the Permit, to recognize Successor as Successor Operator under the Permit,
and to accept the tendered substitute Performance and Financial Warranties in
place of the Warranties presently on file with the State.
PERMITTEE SUCCESSOR OPERATOR
Western Mobile, Inc. Western Mobile Boulder, Inc.
Name of Permittee Name of Successor
By By u
Signature of officif ffi er
Thomas L. Bury, Secretary Thomas _ Bury s r —,
Title of Officer Title of Officer
NOTARY FOR PERMITTEE
State Of Colorado )
County of Adams )
The foregoing instrument was acknowledged before me this h day
Of May , 1996 by Thomas L. Bury
as Secretary Of Western Mobile Inc
Notary Public
My Commission Expires / -9 'z
NOTARY FOR SUCCESSOR
State of Colorado ) 9TF of co�oP
County of Adams >
The foregoing instrument was acknowledged before me this lsth day
Of May 1996, by Thomas L. Bury
as Secretary Of Western Mobile Boulder Inc
Notary Public
My Commission Expires u49
ter.,-,,.... • e,