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2007-10-26_REVISION - M1981112 (2)
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2007-10-26_REVISION - M1981112 (2)
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Entry Properties
Last modified
6/16/2021 2:16:04 PM
Creation date
11/21/2007 11:16:25 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981112
IBM Index Class Name
Revision
Doc Date
10/26/2007
Doc Name
Transfer of permit & succession of operators application form
From
Builders Aggregate Company, Inc.
To
DRMS
Type & Sequence
SO1
Media Type
D
Archive
No
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-5- <br />/=Flo/<.~dAs ~/OGB?~1i9-ice' ~~,. <br />Name of Permittee <br />sy <br />ature of0 rcer <br />,OO[~YL'1 ~,c~- <br />iUe of Officer <br />SUCCESSOR OPERATOR <br />~iC///HD~l9S J3l/lFi~~i"~O~~ ~1/h-~~ <br />Name of Successor <br />Si e of Officer <br />~2~'iD ~~ <br />rtle of Officer <br />NOTARY FOR SUCCESSOR <br />State of ~ ~ ) <br />County of ~ ) <br />Tho foregom tnunent was acknowledge b r me <br />' as ~'~j ~ <br />My <br />of ~~~~~by <br />My Commission Expires Sep <br />
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