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2015-05-06_GENERAL DOCUMENTS - M2014033
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2015-05-06_GENERAL DOCUMENTS - M2014033
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Last modified
8/24/2016 6:00:02 PM
Creation date
5/7/2015 3:15:58 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2014033
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
5/6/2015
Doc Name
Officer
From
Four X Ranch, Inc - M. Christensen
To
DRMS
Email Name
ECS
WHE
Media Type
D
Archive
No
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6-W (,(% Ivl L 0 1 L/0 33 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned Martin Christensen <br />person], in his/her capacity as President <br />personally appeared and, being first duly sworn upon oath said: <br />[name of authorized <br />[title of authorized person] ( "Affiant "), <br />I. This affidavit is being executed and submitted on behalf of Four X Ranch, Inc. [name <br />of business organization], a(n) Corporallon [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 M- 2014 -033 (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 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 theiCompany's behalf is terminated. <br />Further, Affiant sayeth not. <br />RECEIVE() <br />Martin Christensen <br />Affia 's Name MAY 06 2015 <br />A44 �t>Am 6f Rec�PSrYi0`61`'j�, <br />Pt —ro �U I� � �GZ w L � Brag• 8r. $ <br />S' ature <br />STATE OF ) <br />/y� ss.: <br />COUNTY OF <br />The -fibre ins en was aclmowledge before Mme thus day of / <br />by /i✓1 of <br />Notary Public �J % <br />My Commission Expires <br />GERTNER WILLIAM <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20094023719 <br />MY COMMISSION EXPIRES JULY 27, 2017 i <br />AC �t <br />
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