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REV89032
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REV89032
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Entry Properties
Last modified
8/25/2016 3:11:02 AM
Creation date
11/21/2007 10:47:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979166
IBM Index Class Name
Revision
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO4
Media Type
D
Archive
No
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<br />PERMITTEE <br />BENNETT'S ROCK AND WOOD <br />Name of Permittee <br />By L~~IQ ~I"Ssiv,.v.i~O'i <br />Signature of ~ OWNER <br />SOLE PROPRIETOR <br />Title of Officer <br /> <br />-5- <br />SUCCESSOR OPERATOR <br />ELAM CONSTRUCTION, INC. <br />Name o ucces <br />CO 2~ <br />Signature of Officer <br />HAROLD F. ELAM <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />Slate of COLORADO ) <br />MESA ) <br />County of ) <br />The foregoing instrument was acknowledged before me this /~{h day of l7rcr~+drK . I99B • by <br />EARL BENNETT as OWNER <br />BF.NNETT'S ROCK AND WOOD <br />Notary Publi~~~ <br />My Commission Expires <br />NOTARY FOR SUCCESSOR <br />State of COLORADO ) <br />County of MESA ~ <br />~oTac~v <br />Pu~~!c <br />~. <br />of <br />The foregoing instrument was acknowledged before me this /0~~ day of ~ECO/IdE~ , /99~ , by <br />F. ELAht <br />ELAM CONSTRUCTION, INC. <br />as PRESIDENT <br />r ,. ., <br />~s~a <br />tvDTA43Y <br />of <br />Notary Public `/t <br />hty Commission Expires /~ 2G c ~ <br />PU~L:C <br />+~ <br />9~~'•....••••, <br />-... ~~ CO?-.OS <br />
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