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2012-05-03_REVISION - M1999021
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2012-05-03_REVISION - M1999021
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Entry Properties
Last modified
6/16/2021 2:25:52 PM
Creation date
6/4/2012 3:19:25 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1999021
IBM Index Class Name
REVISION
Doc Date
5/3/2012
Doc Name
TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
From
TROLLCO
To
DRMS
Type & Sequence
SO3
Email Name
MAC
TAK
Media Type
D
Archive
No
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-5- <br />PERMITTEE SUCCESSOR OPERATOR <br />ame ttee w das'toies• -lGC' tour- <br />By <br />Signature of Officer <br />Title of Officer <br />Name of Su <br />By <br />Signature of Officer <br />, I" , <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />State of ) <br />) <br />County of ) <br />The foregoing instrument was acknowledged before me this day of , by <br />as of <br />State of OP-0/ ) <br />��` <br />County of Y i U) ) <br />The foregoing instrument was acknowledged before me this day b� = by <br />�) -emhoid Lk.) 1 e4 -. asV►`C0_`Pa !den of <br />Iv . <br />l;�iti/_�1 . .I <br />Notary Pu <br />My Comm Irr Comm Expires law <br />LARA D. WYNN <br />Notary Public <br />State of Colorado <br />1 <br />My Commission Expires September 09, 2012 <br />NOTARY FOR SUCCESSOR <br />Notary Public <br />My Commission Expires <br />
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