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~s~ <br />• STATE OF COLORADO <br />DIVISIO-~l OF MINERALS AND GEOLOGY <br />(fit d Waefal Re/ou~oe/ ~ ~ / <br />1373 SFwr/wi SL, Room 715 /// C O L O IUD Q <br />~. ~OradO °0207 Document Imaging CD/DVD M I N I AA L 5 <br />Phont p09)taL3567 <br />F„s; c)to» a~:.atas REQUEST FORM & INSTRUCTIONS G F O L O G Y <br />/~ ~~~ ~ 5 4/clAM11T1eM•MIfIMf <br />ltegaeat fis the MG dowmcat imaQm oo the 6ollowioi DMG permit 51c(~): / /.r/rr./a/rc/ <br />1) n9-~ '77-3`/~ 2 ~- % .3y63~ ~'/I~77- `/~~)/ti~-/i8Z-/-/o/~ <br />1Le~ cm be r~ CD «. DVD. Plw~eetiertAm~elow and moon th wuU troy <br />Sotm with Y~ Payer m DMO. If • CD it tequmled and do permit v too Lcye far a ®, you wilt be called. ~O1r° 01i°' <br />Plmee alloy np m S budoms days ltom dte mempt of this sipped doaameot for your CD or DVD m be avat7abla aomte w. tawq <br />nNWen Oe/Os <br />'' ~CD ®55.00 pa dick _ DVD tlgT 520.00 per diet ti/uar afwo rnr// <br />.JL rkme chock ifyoa wants copy ofthe QaickView ioebllatim iasat>efiow. <br />Compntev regadremmb m eras the DMG doenmeat ~ Cb (~ DVD): <br />1. A prapram called Qal]cViety w~7t be copied m the CD sad mast be iosdlled m year eompneer 5o seder m me a DMG imea~ CD the <br />fiat timer Fteoae use of this or othg imephtp CD's doss not regohe a Dew imb0adaa of the eottwam. <br />2. Thet~errDVDffiatyonpnrehueypMbsmthe~,,~~.•ADVDdrivewiRreadaCDorDVD. <br />3. The CD vr>ll'maraia files with the .tif ex0ewion. ~ Tbam aeeda m 6e m ima5e dewin5 epplicadan Sor.tif files on your eompster mat <br />vriQ innsdk siajte sod multi-ps;e doctmtmtr. •Oa a Wlsdows XP ooooputat. the detiah vkwiag peb5amr errs raped "Windows Pktme <br />and Fax Views" or "PaioC' and they ~.n0tS9dt vrith tZaiirkVmw. The rmaRioj Vieaar that comes wi& peaWiadowa XP oompntma. <br />does wodr. DbIG has det®iaed that a pmQam ~alled'7rfmVkw", which can be dowatoaded fium l:SaViaw.eom, dam wads wLh <br />QuictView. Altar downlad'a>j "itfanViewr', it needs m be eaafigmed as yea de9nt .tif viewer. DMG.doa not support err use fhL <br />aoilvtsre sad fbs lieensno5 and mgieRsllan ate the tber'a taapaosibitrty. lhbe a<e tmq shat psoDams that watt v weQ inch r <br />"~i Previevt" md'7mapa fi far Watdows". <br />1. the CD ipso your compose. <br />Allow time Sot the ®m iosblL <br />3. $jeet me CD from the eo~aoer <br />4. Iteioaett the CD iaso me eompabr. <br />S. Yoe are rmdy m view the Pa®it Fpea <br />NOTB: AproDam eapad t2uickView Aummq vvbich row the tZnidcVaevr <br />setupptoDam, hu sLo hero copied m ~ CD. If~e Attttx~ptoQam . <br />dom NOT work, yon vrpl aced m mmmlb. iasbp dte QuictView proarm <br />lnatroatioae formmm~Uyiaetapiap QuieYVan-ne avaiLble oponrequsd <br />with the t:D err tun be viewed at vrww *~+mff .r,M eoua <br />The Permit File docnmeat lmaRse tea be dewedla the tvxepflon area of fbe DMG oma or they pa be pnKhaasd w a CD as <br />DVA TheCDVDVD pmxhue Dort eovae the thus and labor of aaHap the CD. <br />DlecWmae: <br />The Colorado Divfdon ofMiaem4 md~OeolSY (DM(~ is sot mepaostbk and chap tut be liable m the met Sot dmaiaea of say lomd <br />aeim5 Dot of the me ofdab a ioSmmadm provided by the DMG, inehtdiop the iaWlia6~ of the dab err iomrmaaon, ib me, or the <br />reaulb obtained from ib ass Aay dab or iofarmaHonpmvided by the DMG v ptvvided "u v" wifhoot vrarramy of any kind, erfhm <br />expmu err implied, lctudiop, but sot limited m, We died wstran0iea ofineoeheobbt7ity and fitoeee Sot s perticularporpose. Dots err <br />informatiam provided by the DMG shall be med iod relied opm Daly at the ore's aok rialr, and the met aDem m indemnify and hold <br />hannlesa the DMG, ib oD"iciais, oPfums and emplyaa from my liability sriainQ out of the me of the datdmformatioa ptovidcd. <br />Customer MaWo{{p and Contact InfoQrmatlon: `TD'B,' ~ (~- ~~~' <br />Prlat Name: J~ 14" U I .IU .~T ~ ~ ~ ~ ~nt~ • DMG uu Daly <br />Compat-y: / ~ (S~ N/R [~ ~ ~ DL ~ C~ ` CD/DVD created and <br />Addreu: ~j~/l iU~i ~) ST 5iZ3.~S'n O ~' <br />,+v , <br />Phone: C .3 D • ~' - ? <br />Dab: ~-~`-~ !~ <br />Slynature: ~ <br /> <br />