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2012-01-24_REVISION - M1986004
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2012-01-24_REVISION - M1986004
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Entry Properties
Last modified
6/16/2021 2:10:32 PM
Creation date
3/29/2012 2:36:58 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986004
IBM Index Class Name
REVISION
Doc Date
1/24/2012
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
From
HAROLD BRANDSTADT
To
DRMS
Type & Sequence
SO1
Email Name
THM
SSS
Media Type
D
Archive
No
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PERMITTEE <br />gox 6i- c1s -tad <br />Name of Permittee <br />By <br />PER IREp viAn vE <br />Title of Officer <br />State of l-c, c JZAao <br />County of bELTA <br />State of daLORA'pp <br />County of `) Et -TA <br />NOTARY FOR PERMITTEE <br />) <br />) <br />) <br />NOTARY FOR SUCCESSOR <br />) <br />) <br />SUCCESSOR OPERATOR <br />�(zr Ta•wies 1Brand s4-4c1-1 l= S +a-k <br />Name of Successor <br />By <br />�< /,.ice i ✓_./�/ <br />POZSc AJAL. fREPRts€nir4ri VE <br />Title of Officer <br />/r <br />The he foregoing instrument was acknowledged before me this 1 day of Nu4lzy , loll–, by <br />174 R.j EDRA Al I sl'AtT as PF Ri SoAAL R EP RE AITATt V E of <br />PA ROL.J> ..TA m ES l RANDST4 DT ESTATE- . <br />Notary Public 1/ac 1C/z4 <br />01111111/UN <br />My Commission Expires D9- o3- 2 Nq ,�A <br />Notary Public <br />My Commission Expires <br />�OTAR <br />ewe VD <br />1111111 <br />The foregoing instrument was acknowledged before me this / q day of %.1�4N+.(A2Y , :l(11 L by <br />Ry RANDS 134 T as PERSwv4L REP R ivc•nTtl /F of <br />NA ROG-6 Sr4ME5 8RANbSTA bT ESTATE <br />09 –a3 .2of - <br />,,,co "_: <br />L ,\\,, P i/ BL∎L :V <br />
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