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DMG DURANGO !)FFICE PAGE 03/03 <br />Documenk imaging CDIDVD <br />REQUEST FORM & iNSTRUCTiONS <br />RCqu,~es~t Cor the DM/G/,document i~mAa_ge7sQon the fallowing DMG permit Tle(s}: <br />!) llu -r ~.~~.Lto 2> Lim-L~S~ap ~ 33 a~ <br />The DMG dontment images can 1"' '~~pied to either a CD or a DVD. P1eas¢ check one below and rerum this <br />form with your payment to DM~ ; ' ~? is requested and the permit is too large for a CU, you will be called. <br />Please allow up to 5 business - 'r ',eipt of this signed document fox your CD or D`" t to be available. <br />/D Q X5.00 per <br />Please check <br />Computer requtr <br />1. A program ca <br />first rime. Fu <br />2, The CD or <br />3. The CD t'.. <br />will haudlt+! "~ <br />and Fax ~.: <br />does work. r:;;~ <br />QuickView. Alte._. <br />software and the lit-`' <br />"Imaging Previ, ~ <br />Ihsirvctions: ~ ~ ~~`v` <br />~~Ot <br />i <br />The Permit Filo document ims <br />AVD. The CD/DVD purchase <br />l . Insert the l <br />2. Allow time t <br />3. Eject the CU t. <br />4. Reinsert the CL <br /> <br />5, g <br />You are ready to <br />on your computer that <br />-d "Windows Picture <br />'~ws XP comptiters <br />does work wish <br />•o+t or endorse this <br />t, such as <br />Disclaimer: °~~'~~ "~~~.,,, _.~N e=° <br />The Colorado Division of Min~Yals and ..,ij is nut responsible and shaft,,, . ~ . ~ ~damagCS of any kind <br />arising out Of the use of data or informatioi .aed by the DMG, including the install::. ~. , ~ ',~matian, its use, or the <br />results obtained from ita use. Any data or ii.~ nrmation provided 6y the DMCi is provided "asp... ~~;:; enty of any kind, either <br />express nr implied, includitg, but not limited to, [hc impliedwaitanties of merchantability and f"n:,.~ ' :e:patticular purjtose. Data nr <br />information provided by the DMG shall he used and relied upon only at the user's sole risk, and theitser~agrees to indemnify and hold <br />harmless the DMG, its officials, officers and employees from any Liability arising put of the use of the datalinfomtstion provided. <br />Customer Mailing and Contact Information: <br />Print Name: ~. '} ~ e ~.,,~~ <br />Company: , <br />3 q9 ~-. i~ ~ `u ~. <br />Address: N' °`„'-a v' w~,~ ~ <br />Phone: <br />Siguaturc: ~~ <br />DMG use on1V' <br />CDIDVD created and <br />tested by: <br />Date: ~~ ~/_~_ <br />