Laserfiche WebLink
STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />?r??i44?'VOIZ <br />ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br />TO WHOM IT MAY CONCERN: <br />Bill Owens <br />Governor <br />Russell George <br />Executive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />REFERENCE: Certificate of Deposit Number _ <br />By submission of this letter, to be attached to the above referenced Certificate of Deposit, I hereby relinquish all title and <br />claim to said certificate to the State of Colorado/Mined Land Reclamation Board, except for accrued interest against the <br />original monies, until such time as the Division of Minerals and Geology/Mined Land Reclamation Board releases the <br />certificate. This assignment of Certificate of Deposit supersedes any signature cards that may already be on file at the <br />bank. <br />ACKNOWLEDGMENT OF BANK <br />SIG. <br />BY <br />Operator: kAo-." <br />Depositor of Original Monies <br />TITLE: `dLPI I:?C?1'? V rN (? Z i%r"civ \j r' i A <br />DATE: D - Z2- ?o 6 <br />Note to Operator. <br />WAIT r rr t°t1L?s 4- <br />CCa 00061;`` D0 <br />This assignment will need to be executed in the presence of a notary. The original is held by the Division with a <br />copy provided to the bank, to allow only Division of Minerals and Geology access to these fiords <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey