PERMFILE111289

• Permit No: M2004048
• IBM Index Class Name: Permit File
• Doc Date: 9/8/2004
• Doc Name: Financial and Performance Warranty Request
• From: DMG
• To: Robert Daugherty
• Media Type: D
• Archive: No

-3-
and assigns.
The provisions hereof shall bind and inure to the benefit of the parties hereto and their successors
SIGNED, SEALED AND DATED this day of ,
Robert Dau ierty~SEAL)
Pennittee
By:
Title:
STATE OF
NOTARIZATION OF PERMITTEE'S ACKNOWLEDGEMENT
ss.
COUNTY OF
The foregoing instnunent was acknowledged before ma 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