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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Retource5 <br />1313 Sherman St., Room 213 <br />Denver, Colorado 80203 C O L D ILA D O <br />Phone: (3031 11663567 Document Imaging D/DVD <br />3 <br />F <br />X I C tLAI RATION <br />A <br />; (30 <br />) 932-9106 REQUEST FOR Nt.z <br /> &_ <br />SAP ETY <br />Request :for the DRMS document images on the following DRMS Permit file(s); <br />1) M11$501-7 2) 91101119 3) M1.0 1O'f(:, 4) MU10760g' h)M2aob'ri <br />S P6H ??F <br />The b dootiti t ima oa i eo le t her a Co or a f vr). Plcxse n eok one be aw and return <br />this form with your payment to DBMS. If a CD is requested and the permit is too large for a CD, you will be called. <br />Y CD @ $5.00 per disk <br />DVD @ $20.00 per disk <br />;Please cheek if ypu want a copy of the Directions forUse of CD/DVD <br />The.Eermit File document .imageg can be vit:we'd. in the;iecep&h area of the DXMS Office, online at. vuwtv.mInintr?stgte,ccl.AS, or <br />they ogn bntpurchaserl oa. a CD or !)VD. The Cl74D'V pnrdh$se oast. covers the time arid. labor afmakIng the CD/17 yT). <br />` ? asia 7nstructibtts: <br />V .1,, risen t C?D/TiVD into your disk drive. <br />2. Clio'k yesloAccept thin. Licbnse.Agreernont for-L'aserfiehp;Plus•yjeWer <br />g. Laserfldhe will Load., Openingthe'Start'Rage <br />3. Clidkon the Avai.1616Repository and Clink O,pbrt,' You am i awready to view the. file(s).. <br />i. ]7 S easinot brevfde comnuter,relatnd sutinort. <br />: 3DisoYailnex; <br />T'he ,Colorado :Division of Reclamation, Minim and- Safety (DRM.S).is not responsible and shall..not be liable to 'the user for <br />dannages of anyktad erasing.out. o£the use -of data or i.nf`ormation,provided by the DRMS,'.indluding-the installation .of the data or <br />in&rmation, 'its use, .or the results obtained from its use. Any data, or .infor atioti provided. by the.DR:SM. is ;provided ".as is" <br />i wlthout.-warranty OP any kind, either oxpregs ar implied, including, but not limited. too the implied -warranties -of inereliantability <br />and fitness ipr a partiotilar,puiposv,. Data or:informationprovided.'bythe'DRMS shall be used, and relied upon only at the user's <br />h6fe.risly land the user agrees'tb indemnify and, hold, harmless the'DRMS,'its officials,.offcdrs and employees from any liability <br />&ins out of the use of'.thi . data/i'riformati6n.;provided. <br />Chsto?xier.Malling'a(nd CotftactInformcationl <br />- 1 <br />Company: ea a y t K t? ?o m rr44e- <br />:Addresscac?s ?ic+tia-?nF, <br />a pvlv$r- CU TO 2- (h <br />Aone; Q 9-) 6 YC G <br />gigriature; <br />tine dilly <br />CDIDVD created and <br />jested'by: 1 „ <br /> <br />yDffiGO of offlee of <br />M1nud Land kdt arnattdh Denver u Grand'7'unel)on - Durango AGtivs:and Inactive. Mines