PERMFILE109032

• Permit No: M2005067
• IBM Index Class Name: Permit File
• Doc Date: 4/21/2006
• Doc Name: Financial and Performance Warranty Request
• From: DGM ajw
• To: Carrizo Stone LLC
• Media Type: D
• Archive: No

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The provisions hereof shall bind and inure to the benefit of the parties hereto and their successors
and assigns.
SIGNED, SEALED AND DATED this day of ,
Carrizo Stone, LLC (SEAL)
Permittee
By:
Title:
NOTARIZATION OF PERMITTEE'S ACKNOWLEDGEMENT
STATE OF )
ss.
COUNTY OF )
The foregoing instrument was acknowledged before me this day of , by
as of
NOTARY PUBLIC
My Commission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Minerals and Geology
By:
Date:
Division Director