2013-04-08_REVISION - M2000082

• Permit No: M2000082
• IBM Index Class Name: REVISION
• Doc Date: 4/8/2013
• Doc Name: SO-02 APPROVAL
• From: DRMS
• To: OPERATOR
• Email Name: PSH
• Media Type: D
• Archive: No

by
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Reclamation, Mining and Safety
By:
Division Director
M \mm\share \bondforms \Corporate Surety REVISED 10/16/07
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
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COUNTY OF �!r U v�t��''� )
The foregoing instrument was acknowledged before me this 1/ "q-day of
NOTARY PUBLIC
My Commission expires:
Date:
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