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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources "?V( 2 -,Z3 <br />1313 Sherman St., Room 215 J <br />Denver, Colorado 80203 C O L O R A D O <br />Phone: (303) 866-3567 <br />FAX: (303) 8322--81810 06 Document Imaging CD/][)VD RECLAMATION <br />REQUEST FORM MINING <br />SAFETY <br />Request for the DRMS document images on the following DRMS Permit file(s): <br />1) 21 2) 3) 4) <br />The DR document images can be copied to either a CD or a DVD. Please check one below and return <br />this form with 3011 <br />r payment to DRM/. If a CD is requ sted and the permit is too large for a CD, you will be called. <br />CD cr $5.00 per disk <br />A7 7e ;DVD $20.00 e isk <br />141 i?Yease c efAT f 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.u , 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 />I . Insert CD/DVD into your disk drive <br />2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <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 />DBMS cannot Provide computer related suDaort <br />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user fc <br />damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data c <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 merchantabilit <br />and fitness for a particular purpose. Data or information provided by the DBMS shall be used and relied upon only at the user' <br />sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liabilit <br />arising out of the use of the data/information provided. <br />Customer Mailing and Contact Information: <br />DRMS use only <br />Print Name• <br />CD/DVD created and <br />Company: (/1 tested by: <br />Address: <br />ate: ? ??) l I <br />Phone: ? - <br />Signature: <br />Office of - <br />Mined Land Reclamation Denver • Grand Junction Durango Office ti <br />Active and Inactive Mines