2009-01-12_REVISION - M1992045 ‎(6)‎

• Permit No: M1992045
• IBM Index Class Name: REVISION
• Doc Date: 1/12/2009
• Doc Name: SO approval
• From: DRMS
• To: Gold Mountain Metals, Inc.
• Type & Sequence: SO2
• Email Name: SSS
• Media Type: D
• Archive: No

-5-
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF 0h + f} )
ss.
COUNTY OF NA-e i r,,?t-
The foregoing instrument was acknowledged before me this 'I day of by
S-f-f,V&r AA C4 bA as Tr-ea s.t,u-e r of
O ARY PUBLIC
My Commission expires:
APPROVED:
State of Colorado
Mined Lan ec ation Board
Divisio of Min and Geology
By:
Division Director
MAmiaU \b= fbr=TAM.BM.&c
/-.Lg-P9
Judith A. Laird, Nozai 1.
State o+ Ohio
iliYy t;ornn
ission Expires: 1/28/03
Date: / ??/