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REV103912
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REV103912
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Entry Properties
Last modified
8/25/2016 1:14:53 AM
Creation date
11/22/2007 1:11:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987171
IBM Index Class Name
Revision
Doc Date
12/9/1999
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO1
Media Type
D
Archive
No
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<br />-s- <br /> <br />SUCCESSOR OPERATOR <br />/"pv~~a~:~ Ce~e,u lit/eJt.,e4/i ~x~~~ <br />Name of Pertni ((// <br />By 2' ~' ~_~ ~~ <br />Signature of Officer <br />~re.S./ pwite~ <br />Title f Officer <br />State of ~Lvradc~ <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />County of ~. Pa~~~~ ; <br />The foregoing instrument was aclmowledged before me this 18 t hday of _~I.L~em ~,{' . ~ by <br />~r~~.m~ Mc~-sl~a ~,f' as of <br />~ZH A C~h'< <br />e•NOTAR~ blie ~t'coMeusSWNpI <br />• Co i ion xpUes <br />N'; PUBLI~: o <br />:a <br />9,a,~ ~'......•• ~PP <br />State of ~0~%R/~ff/do 1 <br />County of . fc~~tteic50,~ j <br />The foregoing instnunent was aclmowledged before meth//is ~~day of __,~-[~. by <br />as V/C ~ I~/c~si c~erJ~ _of <br />._ <br />i P t U i T I,P)P Ste L° J Co. <br />No Public <. <br />My Co ss~on Ex¢~res ~~" ~0 '~ ~~ <br />Riewit Western CO <br />Name of Successor <br />y / - <br />Sigi of Offi er <br />Vice President <br />
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