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GENERAL47377
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GENERAL47377
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Last modified
8/24/2016 8:22:24 PM
Creation date
11/23/2007 3:25:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
3/29/1995
Doc Name
Certficate of Insurance
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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,. <br />»f ~uniiini~~ ~~i <br />ATTAC:[IlVIENT: <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAI.ITEMS <br />EXCESS W.C. APPLIES TO COLORADO <br />CYPRUS EMPIRE CORPORATION INCLUDING PERMTT i~81n04~ CYPRUS ORCHARD <br />VALLEY COAL CORPORATION INCLUDING PERMIT /RC=81.0384 TWENTYMILE COAL <br />COMPAK Y -INCLUDING PERMIT #C=82-056 INCLUDING FISH CREEK TIPPLE AND <br />OPERATIONS AT 29515 ROUTT COUNTY ROAD, #27, OAK CREEK, COLORADO, <br />COLORA:~O YAMPA COAL COMPANY INCLUDING MINES 1,2,3 PERMIT #.C=84=062 <br />bfC~81=07I~AND OPERATIONS AT OAK CREEK, COLORADO <br />CERTIFICATE CANCELLATION <br />Should any of the above described policies he changed and/or cancelled before the expiration date <br />thereof, thy; issuing company will mail 30 days written notice to the certificate holder named. <br />Authorized Representative: <br />Date:, - ~ Ci - 9 5 <br />1168A.ATf <br />
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