2013-01-28_GENERAL DOCUMENTS - M1977378

• Permit No: M1977378
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 1/28/2013
• Doc Name: DVD Request
• From: Toeroek Associates, Inc.
• To: DRMS
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
Request for the DRMS document images on the following DRMS Permit file(s):
1) -! 3 0 2) 3) 4)
Mott x('
i atd1;1` — S; r W krtn , ' d
The DRM .ocument images can be copied to eit er a CD or a DVD. Please check one below and return
this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called.
CD @ $5.00 per disk
Please check if you want a copy of the Directions for Use of CD/DVD
The Permit File document images can be viewed in the reception area of the DRMS office, online at www.rmnina.state.co.us, or
they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD.
Basic Instructions:
1. Insert CD/DVD into your disk drive
2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer
4. Laserfiche will Load, Opening the Start Page
5. Click on the Available Repository and Click Open, You are now ready to view the file(s).
DRMS cannot provide computer related support.
Disclaimer:
The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user for
damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data or
information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is"
without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability
and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user's
sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liability
arising out of the use of the data/information provided.
Customer Mailing and Contact Information:
Print Name;
Company:
Address:
Phone:
Signature:
QIC S'e \ Oc t't
Aso
L2-ke ■0n o fk, C U bZz 2
e? 169
Office of
Mined Land Reclamation
j74
Document Imaging CD /DVD
REQUEST FORM
STATE OF COLORADO
DVD @ $20.00 per disk
Denver • Grand Junction • Durango
COLORADO
D I V I S I O N O F
RECLAMATION
MINING
— &---
SAFETY
Office of
Active and Inactive Mines