Laserfiche WebLink
STATE, OF COLORADO <br />DIVISION MINERALS AND GEOLOGY <br />Department of of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 D I V I S I O N O F <br />Phone: (303) 866-3567 MINERALS <br />FAX: (303) 832-8106 <br />GEOLOGY <br />RECLAMATION <br />ASSIGNMENT OF CERTIFICATE OF DEPOSIT MINING • S A F E T Y <br />Bill Owens <br />Governor <br />TO WHOM IT MAY CONCERN: Greg r <br />watcher <br />Executive Director <br />REFERENCE: Certificate of Deposit Number Michael B. Long <br />Division Director <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 bank. <br />BY Y?? <br />Signature <br />Operator: FARLEY MACHINE SHOP LTD <br />Depositor of Original Monies <br />ACKNOWLEDGMENT OF BANK: <br />SIGNATURE / <br />BY: za Ou.e 'L4 "4 <br />TITLE: <br />DATE: <br />NOTARY (Of Operator Signature) <br />Commission Expires 8 - 6 - 0 6 <br /> <br />Return Original Form to: Division of Minerals and Geology <br />1313 Sherman St., Rm. 215 <br />Denver, CO 80203 <br />Note to Operator: <br />RUTH E. <br />WONENBERG <br />cP? <br />This assignment form will need to be executed in the presence of a notary. The original is held by the Division with a copy <br />provided to the bank to allow only the Division of Minerals and Geology access to these funds. <br />M:\miu\share\bondfomas\cdassipfomibnd.doc <br />REVISED 02/14/02