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REV105226
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REV105226
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Entry Properties
Last modified
8/25/2016 1:16:49 AM
Creation date
11/22/2007 1:24:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977567
IBM Index Class Name
Revision
Doc Date
8/20/2001
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO1
Media Type
D
Archive
No
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<br />~ RECEIVED <br />AUG 2 0 2001 <br />- i - Divisional Minerals and Geology <br />PERhIITTEE <br />,/fJGuq 46 ~-otwv Y ~~4zJ 3 LK'/~L6 ~y <br />Nam` of Pemuttee <br />ST1[['F.SSOR OPER4TOR <br />~~~ ~~4u0 ~CAT~G6 <br />Name of Successor <br />By •~~, <br />-gnature of Officer <br />®~~~ <br />Title of Officer <br />NOTARY FOR PERiKiTTEE <br />State of~Q(./0~ ) <br />County of <br />e foregoing instrument was aclmowledged beforc me this day of _~by <br />as of <br />Notary Publi~,~y1 <br />My Commission Expires ~' <br />State of <br />Counry o - ) <br />~Th~e foregoing instrument was aclmowlcdged before me this ~ day of~~_~by <br />VbE ~GEKaI ~/,OEo4 ~ Dr~ns ~~ of <br />~O~ ~.y,v0 ~ C'~9 "7 7-G E <br />Notary Public ~~ <br />My Commission Expires ~' <br />
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