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REV95435
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REV95435
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Entry Properties
Last modified
8/25/2016 3:20:29 AM
Creation date
11/21/2007 11:49:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994005
IBM Index Class Name
Revision
Doc Date
9/27/1994
Doc Name
RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
AM1
Media Type
D
Archive
No
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'~ <br /> <br />-5- <br />' 4. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 16th day of AuRUSt 1994 <br />' UNITED COMPANIES OF MESA COUNTY INC <br />Ap l i cant/Op^e'ra(tor I <br />' By: ~ ~ (1J\C`~t~ Paul E. McGehee <br />Title: Resource Manaeer <br />If Corpor n Att Seal) <br />B Lowell W. La cock, <br />Corporate cretary or Equivalent ~ <br />Town/City/County Clerk <br />' Stdte Of Colorado ) <br />SS. <br />County of Mesa ) <br />' The foregoing instrument was acknowledged before me this 22ndday of September 1994 <br />' by Lowell W. Laycock d5 Corporate Secretary Of United Companies of Mesa <br />,y~~County, Inc. <br />Notary Public <br />' My Commission Expires: '2/'2%98.. " <br />' 2823E (02/05/93) <br /> <br /> <br /> <br /> <br />1 <br />
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