2011-12-05_REVISION - M1982020

• Permit No: M1982020
• IBM Index Class Name: REVISION
• Doc Date: 12/5/2011
• Doc Name: SO Application
• From: Aspen Mineral Resources, Inc.
• To: DRMS
• Type & Sequence: SO2
• Email Name: GRM
• Email Name: SSS
• Media Type: D
• Archive: No

CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
�aY c a1-1 c!ii<,.9ax n.
State of California
County of • xNh \PSO
On t eiXt:e 1'.20\ \before me,
Date
personally appeared •XX\t _ N \`( . \
HEIDI RUNGE ■
. - Commission 0 1864751
z':;� ! Notary Public - California Z
1 -c'��►/ San Diego County >
M Comm. Expires Sep 13, 2013
•
Place Notary Seal Above
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
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\\Q \Ck‘ V � 14(A ` \x \ \G
H re seirt Name and Title f the O icer
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(e) whose name(s) is /are subscribed to the
within instrument and acknowledged to me that
he /slthey executed the same in his /lscr /thcir authorized
capacity(ies), and that by his /eif signatures) on the
instrument the person(s), or the entity upon behalf of
which the person( acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature
OPTIONAL
Signature of Notary!'Public
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document ff
Title or Type of Document: \ CC1115 t � CT�ti t ( C�GR!{. 5( c6,e/ - ,114 rD j Q,erc' z r5
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited Cl General
El Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHTTHUMBPRINT
OF SIGNER
Top of thumb here
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