2009-02-24_REVISION - M1997064

• Permit No: M1997064
• IBM Index Class Name: REVISION
• Doc Date: 2/24/2009
• Doc Name: Submittal of Inadequate SO Appl., PW and One Site Exploration FW/CS
• From: DRMS
• To: GCC Rio Grande, Inc.
• Type & Sequence: SO2
• Media Type: D
• Archive: No

-3-
Siened, and dated this 1901 day of Janpat? _?_om-,
Tra,cle_rs Casnalt- and Surer- Comp am
Surety America
the - itornev-in-Fact. Nana Thomas
1330 Post Oak BIN-d.. 4900. Hottston. TX 7 7056
Mailing Address
APPROVED:
By
Division Director
NOT REQUIRED
Resident Agent
Title -
Mailing Address
Date
M •miwshare`•Prospecting Forms?One Site Lxp FW Corporate Surety-doe