Laserfiche WebLink
n:Ma?gle Smyczynski To:DVD Request Form (13038328106) 12:34 10113110GMT-06 Pg 03-03 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman 5t., Room 215 <br />Denver, Colorado 84243 l7 C O L O RA D O <br />1VFSION OF <br />Phone: (303) 866-3567 Document Imaging CD/DVD RECUMATION <br />FAX: (303) 832-8106 REQUEST FORM MI &NC <br />J? F SAFETY <br />Request for the DRMS document images on the following DBMS Permit file(s); !. A <br />1 F3 2) 3) 4) <br />) o?vle. No."? vri?+ne? <br />The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br />this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called. <br />CD cr $5.00 per disk V DVD @ $20.00 per disk <br />Please check if you want a copy of the Directions for Use of CD/DVD <br />The Pennit:File document images can be.viewed in the recep ion:area of. the,DRlV1S office,: onl>ne at;wwcv.rnininp state co os, or <br />they caa:be:purchased:on a;CD or DVD. The::CD/DVD purchase eostcover§ the'time,and labor of making the CDIDVD. <br />Basic Instructions: <br />1.;. Insert>GDIpVD into'your disk dn:ve <br />2. Click Yes to:Aocept the License Agreement for Laserfiche.P.l= Viewer. <br />4, Laseri the will Load, Qpening the Start Page: <br />5. Click on the Available Repository-and Click Open, You are now ready to v ew:the.file(s). <br />DRMS cannot provide com uter.related_stt_Dport. <br />Disclaimer: <br />The Cblorado Division of Reclamation,: Mining and Safety (DRMS) is not responsible and shall not be liable to. the user; for <br />damages of any kind :arising out of the use of data or information provided by the DBMS, including he. installation of the data or <br />information, its use,. or the results .obtained.; om its:use.. Any data. or. information: provided by the:DRSM is provided "as. is" <br />without warranty of. any:kind,. either expressror implied; including, but not.limRed:.to, the iiript el3'warrai>ties of'mercl antability <br />and fitness for a:partiEUlar purpose, Data or:inforntationprov>ded b}%the DRMS shall be used, and relied upon only at .the user.`s <br />sole.risk, and the user..agrees:to indemnify and tiold'harmless the. DBMSits officials, officers and employees .from any_liability <br />arising out of the use of. the data/information-provided. <br />Customer Mailing.and :Contact Information: <br />Print Name: j Cam. o_h qw?QiR-? <br />Company: t' -z l t a ti c, . L-L- ll' <br />Address: 3St,00 <br />r , CC) F'oa,.o D _R_ <br />Phone: <br />Signature: <br />Office of <br />Mined: Land. Reclamation <br />Denver • Grand Junction • Durango <br />DRM.S- u.se only <br />CVIDVD created and <br />:teste <br />Date:. <br />Office of <br />Ac tive.and:lnactive Mines <br />