PERMFILE121873

• Permit No: M1999074
• IBM Index Class Name: Permit File
• Doc Date: 10/14/1999
• Doc Name: ASSIGNMENT OF CERTIFICATE OF DEPOSIT
• Media Type: D
• Archive: No

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DIVISION OF~\tINER~LS ?.ND GEOLOGY
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1113 Sherman St.. Roon .t i ~ .N I ~: E R •\ L S
OCnvCr. COIDfJdO 9D103 -a-
PhonC: 11031 96%x3:6: G E O L O G Y
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45SIG`t'~tEYi OF CERTiFiCATE OF DEPOSIT er.;=.~talcne,
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TO urTiO ff MAY CONCERy: °ieir
REFERS, ICE: Certificate of Deposi[ Number O 2 2 9 ~ ~ .S ~ ~ ~
By submission of this letter, to be attached to the above refetenced Certificate of Deposit I hereby relinquish all title
and claim to said certificate to the State of ColoradoNlined Land Reclamation Board, except for accrued interest
against the original monies, until such tune as the Division of Minerals and Geology/Ivlincd Land Reclamation Board
releasts rite certificate. This assitmturnt of Certificate of Deposit supersedes any signature cards. that tray already be
on file at the bank.
BY':
6`0~ G
ACK*IOWLEDGbIENT OFBANK
SIGNATURE: ~(,!/Z4~- ~.CCf~IL~Q~.Z
Depositor of Original Monies ~~ ~6
NOTARY (Of Operator Signature)
BY: ~'U77/,,S~~F~~ ~~~1~/{{e,,6~~0~~ S /J~ ~ ~ ComFnission Esptres 7~z ~j'1 UO ~
TITLE: /~/ "Y_ec eti0 ~~ . +~. ;:. .:
DATE: fin/ J~/9~ `^~'`~
..~, •~i'
t .... .'
Return Original Form to: Division of Minerals and Gcolog.' ~~, - '" `~~ ~••'r~'
131= Sherman St._ Rm 2l? ... """'~ -
Dcnver. CO 8023 ~,~ ~ ;,~n"~
Nom ro Operator:
This avieumcnt loon twill need to be eseauted iu the presence ota ootan~. The onsinal ~ heid be tha Dicisiou kith a
aopv provided to the bawl: to allow ooh the Division of Muterals and Geolo~~ acxss to these hmri;.