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2013-06-17_PERMIT FILE - M2013018
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2013-06-17_PERMIT FILE - M2013018
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Last modified
8/24/2016 5:21:30 PM
Creation date
6/18/2013 3:50:14 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013018
IBM Index Class Name
PERMIT FILE
Doc Date
6/17/2013
Doc Name
COMPLETE & UPDATED 11c PERMIT APPLICATION PACKAGE
From
OPERATOR
To
DRMS
Email Name
PSH
Media Type
D
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No
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Document must be filed electronically. <br />Paper documents are not accepted. <br />Fees & forms are subject to change. <br />For more information or to print copies <br />of filed documents, visit www.sos.state.co.us. <br />Colorado Secretary of State <br />Date and Time: 03/27/2013 11:08 AM <br />ID Number: 20131198158 <br />Document number: 20131198158 <br />Amount Paid: $100.00 <br />ABOVE SPACE FOR OFFICE USE ONLY <br />Statement of Foreign Entity Authority <br />filed pursuant to § 7 -90 -803 of the Colorado Revised Statutes (C.R.S.) <br />1. The entity ID number, the entity name, and the true name, if different, are <br />Entity ID number 20131198158 <br />(Colorado Secretary of Slate ID number) <br />Entity name Pine Bluffs Gravel & Excavatina. Inc. <br />True name <br />(if different from the entity name) <br />2. The form of entity and the jurisdiction under the law of which the entity is formed are <br />Form of entity Foreign Corporation <br />Jurisdiction Wyoming <br />3. The principal office address of the entity's principal office is <br />Street address 215 Main St <br />(Street number and name) <br />Suite A <br />Pine Bluffs WY 82082 <br />(City) (State) (ZIP /Postal Code) <br />United States <br />(Province — if applicable) (Country) <br />Mailing address PO Box 609 <br />(leave blank if same as street address) (Street number and name or Post Office Box information) <br />Pine Bluffs WY 82082 <br />(City) (State) (ZIP /Postal Code) <br />United States. <br />(Province — ifapplicable) (Country) <br />4. The registered agent name and registered agent address of the entity's registered agent are <br />Name <br />(if an individual) <br />(Last) (First) (Mi ddle) (Suffer) <br />or <br />(if an entity) TRK Enterprises, LLC <br />(Caution: Do not provide both an individual and an entity name) <br />AUTHORITY Pagel of3 Rev. 12/01/2011 <br />
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