2008-08-13_REPORT - M1988052

• Permit No: M1988052
• IBM Index Class Name: REPORT
• Doc Date: 8/13/2008
• Doc Name: Annual Fee/Report/Map
• From: Big R Construction Company Inc
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

a
ACCEPTANCE BY AGENT:
The undersigned agent hereby accepts the delegation of authority set out in this
instrument.
--T? ?,!
Date
Agent's Specimen Signa ure-

Agent's Social Security Number
4