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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />Request for the DRMS document images on the following D <br />1) List attachea2) <br />DRMS cannot provide provkk computer related support. <br />Print Name: <br />Cornpany: <br />Address: <br />Phone: <br />Signature; <br />Al -2_000 0311 STATE OF COLORADO <br />19915 Witnenbu <br />Forster Engineering <br />San Antonio, TX 78256 <br />(210) 693-544 <br />Charles Porsti,?,:r <br />Document Imaging CD/DVD <br />REQUEST FORM <br />S Permit file(): <br />3) 4) <br />X Please check if you want a copy of the Directions for Use of CD/DVD <br />Customer Mailing and Contact Information: <br />Charles P orster Al1" <br />Office of <br />Mined Land Reclamation Denver • Grand junction • Durango <br />1" <br />C <br />RECEIV <br />LORADO <br />VISION OF <br />RECLAMATION <br />MIN ING <br />SAF ETY <br />Division of Reciama on, <br />Mining & Safety <br />JUL 2120 <br />The DRMS document images can be copied to either a C1) 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 />X CD @ S5.00 per disk DVD ® S20 00 per disk <br />The Permit File document images can be viewed in the reception area of the DRMS office, online at www.huning.state.cons, or <br />they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the co/DVD. <br />Basic Instructions: <br />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 />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user for <br />damages of any kind wising out of the use of data or information provided by the DRIvIS, 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 DRIYIS, its officials, officers and employees from any liability <br />arising out of the use of the data/information provided. <br />* <br />CD/DVD created and <br />stedby: <br />Date: 1 <br />Office of <br />Active and Inactive Mines <br />