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2010-09-20_REVISION - M2003037 (7)
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2010-09-20_REVISION - M2003037 (7)
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Entry Properties
Last modified
6/16/2021 2:20:58 PM
Creation date
9/30/2010 10:01:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003037
IBM Index Class Name
REVISION
Doc Date
9/20/2010
Doc Name
Transfer of Permit and Succession of Operators Application Form
From
Oldcastle SW Group dba United Companies of Mesa County
To
DRMS
Type & Sequence
SO2
Email Name
GRM
Media Type
D
Archive
No
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,r <br />PERMITTEE <br />'9k Y 077t 14M01- 6 12AWOL,uc <br />Na e of Per 'tee <br />By <br />Signature of Officer <br />-5- <br />SUCCESSOR OPERATOR /? < , d6w E}F <br />dl( 4"f/e 7Fty G i -5+,L- tin; a <br />Pe-fer T SieyPW. ?A C te5 <br />Name of Successor of n4QK a <br />By <br />Signature o ffi r el? <br />?!` L1LhN' ViG*_ Pi?Si?P?tl <br />Title of Officer Title of Officer <br />NOTARY FOR PERMITTEE <br />State of C-0br =ch ) <br />County of <br />The foregoing i strument was acknowledged b re me thil& - day o by <br />as of <br />67 UAL o <br />1 a '' c>y Notary Publi <br />/] F <br />My Commission Expires <br />Q+ <br />?TA?'O A• ?E?h 47 <br />NOTARY FOR SUCCESSOR <br />State of <br />County of t°?Ot ) <br />A he foregoing instrument was acknowledged be re me this day of , IWO, by <br />4er S -,S of <br />e fD nc c? l?vr;:<e? C.oNa armies ?GtK 9-/6-/6 <br />Notary Public <br />My Commission Expires ?t <br />C r7 EV =HFA . <br />M• BLEC J e, <br />r9l .... .' pQ`Q <br />C0?' <br />OF
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