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02f10f2009 14:25 9702475104 DMG DURANGO OFFICE PAGE 02/02
<br />~~ ~'~~,
<br />Document ~Inaging CD/DVD
<br />1~QUES'T` ~'ql & ~NSTRUCTY~NS
<br />Request far the DMG document images on the following DMG permit files}:
<br />1) „~Q=fa 2S~ 2) 31
<br />The DMG document images can be copied to'ei.ther a CD ar, a DVD. Please
<br />form with. your payment to ]~11~G, If a Cb is requested god the permit is too
<br />Please a11pw up to 5 business days from the receipt of this signed dacutttenr'
<br />f ~4r. , ..
<br />-- ~; C17 Q. $5 AO per disk DVD Q $20.00 per. d' , .~~~ : '
<br />~Plcase check if ou
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<br />s does not support or endorse this
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<br />i.nst:all the QuickViewpragram. ,
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<br />The Calarada iatr~:, ~.:s. ~is) is n.ot responsible and steal] not be liable to the user for damages of any kind
<br />arising out of the u~',;;,, "'~• ` ded by the DMG, including the installation of the date or inforxttStion., its use, or th,e
<br />results obtained, from' ~ ~ ''~~rm.ation provided by the IaMG is provided "as is"'wsthout watranty of any kind, either
<br />express or imgli.ed, inc~~ ,; .: ~ed to the implied warra.ntics of m.erchantabili.ty~Snd fititess for a'ppt'ticul.ar. purpasc. Dots or
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<br />information provided by t4~ t,:.... ^~ ::~ used Snd relied upon only et the user's sole risk, Sod the user Sgrees to ind.ernnify and hold
<br />harmiesa the DMG, its o~cl;;,..,;tficers and employees front soy liability arising out of the use ofth.e data/infarmati.anprooided.
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<br />Customer 1V.~a.lIfng and. Contaci/I~nformation:
<br />Print Name: ~A•L jQlUh/1,~~~
<br />Company: ~yVlc ~_
<br />/~d.dreSR_ ~ k1 ~$ ~-~~ irlt^,rGlti.. o GO ~~4~r
<br />Phone: ~~.
<br />Signature: ~
<br />D7~V ~ use one
<br />CDlDVD created and
<br />tested by:
<br />Date:
<br />
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