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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 4/?/- <br />following DRMS Permit file(s): -- 1 7 sI tes <br />1) 2) " See 4) <br />The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br />this forr�a with your payment to DR1'IS. If a CD is requested and the permit is too large for a CD, you will be called. <br />I 7 , 5 <br />CD @ $5.00 per disk d Q. _ _ DVD @ $20.00 per disk <br />P b i <br />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 DRMS office, online at www.mining.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 />1. 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 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 DRMS its officials, officers and employees from any liability <br />arising out of the use of the data/information provided. <br />Customer Mailing f and Contact 'Mot-mat Print Name: i\ O L e f <br />LqAr'je Gt)e � ',J <br />Address; / CIUth % icii. sfe, OD <br />1/t)es1 it $ le KO <br />.303 - Ce g'7 4s "79 <br />Company: <br />Phone: <br />Signature: <br />Office of <br />Mined Land Reclamation <br />Document Imaging CD/DVD <br />REQUEST FORM <br />Denver • Grand Junction • Durango <br />1Al' h Ul LULU1<AUU <br />4 2 1 -4A-417- ;/- / <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />DRMS use only <br />CD/D'YD ted and <br />tested <br />!vv( <br />Date: ) / "—p../ // <br />Office of <br />Active and Inactive Mines <br />