2008-05-14_PERMIT FILE - X200714210 ‎(2)‎

• Permit No: X200714210
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/14/2008
• Doc Name: Final Reclamation Report
• From: Western Fuels Association
• To: DRMS
• Media Type: D
• Archive: No

-2-
6. Does the prospector wish this report to be considered confidential?
(See Rule 2.02.7(s)). No If yes, attach a justification for the request.
7. Additional Comments:
I, the undersigned, hereby certify that the exploration activities for which I posted bond are
completed, and that, to the best of my knowledge, all applicable lamation requirements
have been met.
Representative
By:
Title: ~ ` - ,
Authorized Op ator
The foregoing instrument was acknowledged before me this ~ day of
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Operator.
Notary Public