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2013-01-29_GENERAL DOCUMENTS - M2008001
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2013-01-29_GENERAL DOCUMENTS - M2008001
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Last modified
8/24/2016 5:12:29 PM
Creation date
3/20/2013 3:30:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2008001
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
1/29/2013
Doc Name
AFFIDAVIT OF AUTHORITY
From
OPERATOR
To
DRMS
Email Name
TC1
TAK
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned 3011 1,1 F S L + 1fl4 N [name of authorized <br />person], in his/her capacity as Piz ‘g [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of ScrA- rkw.5i P name <br />of business organization], a(n) C O A PoQA'T1 , ObJ [legal form of business organization, <br />e.g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />number 11\ - A.00 R - 00 (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <br />Warranty Documents "). <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />301N F SL �>��N <br />Affiant's Name <br />STATE OF <br />COUNTY OF <br />CotoRADO <br />Affidavit of Authority Rev 05 2012.docx <br />I�< de,'1 <br />JOSEPH P. GAGLIANO <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 19944019404 <br />MY COMMISSION EXPIRES 12/06/2014 <br />SS <br />The foregoing instrument was acknowledged before me this l day of booµ /tr , . 3 <br />b 306 F.61 . ha as P/Llcsio of e e5 r L'1¢/Z✓Vl7 x41 <br />Notary Public <br />My Commission Expires <br />R <br />rt D,Qa f 001 <br />Rev. 05/12 <br />
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