2011-08-29_GENERAL DOCUMENTS - M2009018

• Permit No: M2009018
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 8/29/2011
• Doc Name: CD Request
• From: Petrock & Fendel
• To: DRMS
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

08/25/2011 14 :35 3035340310
3035340310 P 1/1
STATE OF COLORADO
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Document Imaging CD /DVD
REQUEST FORM
1 // - j u Y'r P4 'A'�' ' -e
Request for the DRMS document images on the following DRMS Permit files(s): �o
1) 012 CO C `V-1 2) tri . 0oQn 4 5) rrN 1 qS i a`i Q 4) ` _ 5 la
WL'ST' (. - i4CiNTZ LMr9+V 113?o,W1 - ' nn emu ' ii i
The DBMS document images can be copied to either a CD or a DVD, Please cheek one below and return
this form with your payment to I)RMS. If a CD is requested and the permit is too large for a CD, you will be culled.
2011 -08 -25 10 ;55 ARMS
DIVISION OF RECLAMATION, MINING AND SAFETY
Departtntl'rt 01 Natural Rewurtm
1313 Sherman St., Room 115
Denver, Ca4orotha 84208
Phone- [phone]
FAX: [phone]
CI) (u 55.00 per disk
3038328106 »
DVD 0...4$20.0C1 per disk
Please check if you want a copy of the Directives for Use of CD/)VD
The Permit Pile document images can be viewed in the reception area of the DRUM office, online at ,+y1'w o t , us, or
they can be purchased on a CD or DVD. The CD/DVD purchase coat covers the time and labor of making the CD/DVD.
)t-tjlits koliat #ohs_
I, rnsert CD /DVD into your disk drive
2. Click YeR to Accept the License Agreement for Lasertrohe Plus Viewer
4, Laserfiche will Load, Opening the Start Page
5, Click on the Available Repository and Click Open, You are now rt:ady to viQW the fltc(s).
pj srinpo na'ravidc ¢orpuitcvelated aupport.
Disclaimer,
The Colorado Division( of Reclamation, Mining anti Safety (DRMS) is ia,ot responsible and shah not be liable to the user for
damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data or
information, its use, or the results obtained flue its use. Any data or information provided by the DRSM is provided "as in''
without warranty of any kind, either express or implied, Including, but not limited to, the implied warranties of merchantability
rind fitness for a particular purpose. Data or Information provided by the DRMS shalt bc; used and relied upon only at the user's
sole risk, and the user agroes to indemnify rind hold harmless the DRMS, its officials, officers and employees from any liability
arising out of the use of the data /information provided.
Customer Mailing and Contact information;
Print Name: '\* cal _ G2. C 10,r \o V i C
Company: a_ `COC.1 \et\ • C
Address: ao0 Vi i;-‘e \ S -kC ei.}k V,''± -�2 \ so
303 — 0 - 70 `�.
Phone:
Stgliature:
Office of
Mined t,xnd Rec1Am.Nnn
PETROCK &FENDEL PC
Denver • Grand lunctron uumngo
PAGE 01/01
COL0a,A1)O
V(vrsroN OP
RECLAMATION
MINING
SAF E'rY
DRMS use only
CD/DVD created and
St ets by:
Office Of
nt;trve and Inar7(Ve Minas