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REP03941
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REP03941
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Entry Properties
Last modified
8/24/2016 11:34:53 PM
Creation date
11/26/2007 10:40:10 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994114
IBM Index Class Name
Report
Doc Date
11/18/1997
Doc Name
ADMINISTRATIVE RECORD
Media Type
D
Archive
No
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<br /> <br />-5- <br />4. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made hereto are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~~ day of (~_~~.Q,,a!" lgga . <br />Applicant/Operator ff//{J If Corporation Attest (Seal) <br />By: _ <br />Title: <br />State of New Mexico ) <br />ss. <br />County of San Juan ) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />.he foregoing instrument was acknowledged before me this a~~day of 199° <br />by Stephen H. Kinney as of <br />~ui a.a. ~• c~ cameo <br />Notary Public _ <br />My Commission Expires: 9"7-97 <br />2823E (02/05/93) <br />00007 <br />
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