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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 />Signature: <br />DRMS cannot provide computer related support. <br />Office of <br />Mined Land Reclamation <br />Document Imaging CD/DVD <br />REQUEST FORM <br />Customer Mailing and Contact Informat' <br />Print Name: kO e t' YGF <br />Company: L q A r 5 e l/V eb .- /re <br />7 <br />Address: /D/7 o C reiA4 i . Wet y Sie, .10 D <br />We5i44 /11 s foo/ <br />'f5 <br />Phone: 0... , l6 7 7 - '7 9 <br />Denver • Grand Junction • Durango <br />5TATF OF COLORADO <br />• <br />Basic Instructions: <br />I . 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 />C O L O R A D O <br />D I V I S I O N OF <br />RECLAMATION <br />MINING - <br />- &— <br />SAFETY <br />Request for the DRMS document images on the following DRMS Permit file(s): — j 7 7 sl tes <br />1) 2) '4 �ee ICJ / 7� 4) <br />The DRMS document images can be copied to either a CD or a DVD. Please check one below and retum <br />this forr l 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 />/'7, <br />CD @ $5.00 per disk c d DVD @ $20.00 per disk <br />P 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 />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 DR1y1S, 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 t 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 t he data/information provided. <br />DRMS use only <br />CD/DVD ted and <br />tested b <br />Date:1 / 0 // <br />Office of <br />Active and Inactive Mines <br />