REV104399

• Permit No: M1979205
• IBM Index Class Name: Revision
• Doc Date: 5/3/2000
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO4
• Media Type: D
• Archive: No

y • .
-5-
PERMITTEE
CIiSTOM CR[ISHTNC~ TNC.
Name of Pertnittee~
`9 ~, C
13 ~ ~/ B B. BAIL Y
Signature of Officer
PRESIDENT
Title of Officer
NOTARY FOR PERMITTEE
State of CO~OcA~n 1
County of G A r t ce ~U 1
The foregoing instrument was ackmowledged before me this ~~ day of
ill a. 4~gtle.a as ~4 resic~e~~
~.i.t~aorn ~ r[.~sh~m4 . I n C .
SUCCESSOR OPERATOR
Name of
pp11U 10~
a: •'
s, '~I D
,P;
VICE PRESIDENT
Title.of Officer
Notary Public _
My Commission
NOTARY FOR SUCCESSOR
State of (~o(v/'c,~o )
County of~~~t )
,,.a„...w[... ,
NOTARY .• ,_~
"3=~ -O
The f/oregoing instrument was acknowledged before me thi ~~ day of ~ ~ a~ by
q ~w cJG(( ~r ,[~ t-~ ,/ as [ ct l~/es.'c( c+~t of
0.[Y DAAI'k~(rCS ~l- /N~f'4 OU4!#-1/IC
7
Notary Public~`~ /'~ • ~'`"`~"'
~s APR y p!/~ My Commission Expires ~{"({~0~
~.
~~~E
BIEp'N