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STATE OF COILOMDO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 C O L O R A D O <br />Phone: (303) 866-3567 <br />Document Imaging CD/DVD D IVIS ION OF <br />RECLAMATION <br />FAX: (303) 832-8106 REQUEST FORM MINING <br /> <br /> <br />Request for the DRMS doc on the folio?ying DRMS Permit files <br />1)?M 1?'1$-222 04 2008 -012 3) ??10• 2007-657 4) 1 <br />`f - /p77 -Z93 <br />J ri- ZnoB-oso ? P-2.008-OS-3 <br />The DRMS/document (6) 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 @ $5.00 per disk _ DVD @ $20.00 per disk <br />Please check if you want a copy of the Directions for Use of CD/DVD <br />The Permit File document images can be viewed in the reception area of the DRMS office, online at www.mining.state.co.us, or <br />they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br />Basic Instructions: <br />1. Insert CD/DVD into your disk drive <br />2. Click Yes to Accept the License Agreement for Laserfiche Plus Vie-R er <br />4. Laserfiche will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br />DRMS cannot provide computer related support. <br />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DBMS) is not responsible and shall not be liable to the user for <br />damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data or <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is" <br />without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user's <br />sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liability <br />arising out of the use of the data/infonnation provided. <br />Customer Mailing and Contact Information: <br />Print Name: ?Pro L S --a t LA b`f I <br />Company: !S U T EA t-01 L- C <br />Address: 6 Sv W'N 1,6i\? 4vC <br />o - 4)?, C:e) ko ? d 4- <br />Phone: 0o 443 C? o u <br />i <br />Signature: <br />DRMS use only <br />CD/DVD created and <br />tested by: <br />Date: S-$ -11 <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines