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/VI-Zoo° -0 <br />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 E)RMSI document images on the following DRMS Permit file(s): <br />I) List atta hed2) 3) 4) <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 />X CD @, $5.00 per disk <br />X 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 DRIvIS office, online at www.nuning.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 />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 />DRMS cannot provide computer related support. <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 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 k)nd, either express or implied, including, but not limited to the implied warranties of merchantability <br />and fitness for a particular putpese. 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/information provided. <br />Customer Mailing and Contact Information: <br />Print Name: <br />Company: <br />Address: <br />Phone: <br />Signature; <br />Charles P. Forster <br />Forster Engineering <br />19915 Wittenbu <br />San Antonio, TX 78256 <br />(210) 698-5544 <br />Charles P Forster <br />Document Imaging CD/DVD <br />REQUEST FORM <br />STATE OF COLORADO <br />DVD @ S20.00 per disk <br />Office of <br />Mined Land Reclamation Denver • Grand junction • Ourango <br />RECEIV <br />JUL 2 1 20 <br />t F V 4 N` D o C 1 <br />RECLAMATION <br />M IN ING <br />SAFETY <br />Division of Reclama on, <br />Mining & Safety <br />CD/DVD created and <br />ted by: <br />/ <br />Office of <br />Active and inactive Mines <br />