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2013-05-15_GENERAL DOCUMENTS - M2007044
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2013-05-15_GENERAL DOCUMENTS - M2007044
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Last modified
8/24/2016 5:20:28 PM
Creation date
5/23/2013 3:50:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2007044
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
5/15/2013
Doc Name
AFFIDAVIT OF AUTHORITY
From
OPERATOR
To
DRMS
Email Name
RCO
THM
GRM
Media Type
D
Archive
No
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Ig Go b'941 6 te 1i &v 0 7� oq(,,,' <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned [name of authorized <br />person], in his/her capacity riitt of authofiied person] ( "Affiant "), <br />personally appeared and, being first duty sworn upon oath said. <br />I . This affidavit is being executed and submitted on behalf ofj( Qlsp,�g�grjtame <br />of business organization], a(n) CWW ki -A [regal form of business organization, <br />e.g., corporation, partnership, limilteb 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 (DBMS 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 $ame. <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, Afftant sayeth not. <br />sfe P <br />�! <br />Affi is Name <br />99?� <br />Signature <br />STATEOF / f ♦, /, <br />COUNTY OF i! ,,Ili <br />The foregoing instrument was acknowledged before me this day fMaLA 7—kIZ. <br />by �1 _ fir) as % Art juskicAs ewl� <br />Natary Fubbc <br />My Commission Expires <br />IN <br />�.7 <br />
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