2011-11-09_PERMIT FILE - X200522600

• Permit No: X200522600
• IBM Index Class Name: PERMIT FILE
• Doc Date: 11/9/2011
• Doc Name: Coal Exploration Final Reclamation Report
• From: EAI
• To: DRMS
• Email Name: JDM
• Media Type: D
• Archive: No

Representative
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My Commission Expires:
(4/00)
7. Additional Comments:
-2-
6. Does the prospector wish this report to be considered confidential?
(See Rule 2.02.7(s)). No If yes, attach a justification for the request.
I, the undersigned, hereby certify that the exploration activities for which I posted bond are
completed, and that, to the best of my knowledge, all applicable reclamation requirements
have been met.
The foregoing instrument was acknowledged before me this day of
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Commission expires
By:
Title: AAiA6,'k
Authorized Operator
of
, Operator.
as