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cl 7 0 6 • <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 $herman St., Room 275 <br />Denver, Colorado. 80203 <br />Phone! (303) 866-3567 <br />FAX: (303) 832-8106 <br />Request for the DRMS document images on the following D <br />1) List attached2) <br />MAINS cannot provide computer related support. <br />Customer Mailing and Contact Information: <br />Print Name: Charles ? Forster <br />Company: <br />Address: <br />Phone: <br />Signature; <br />_Forster Engineering <br />19915 Wittenburg <br />San. Antonio, TX 78256 <br />( 210 ) 698-5544 <br />Charles P Forst:et <br />STATE OF COLORADO <br />RECEIV <br />Document Imaging CD/DVD <br />REQUEST FORM JUL 2 1 20 <br />3) <br />The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br />this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called, <br />X CD @ $5.00 per disk / <br />X Please check if you want a copy of the Directions for. Use of CD/DVD <br />The Permit File document images can be viewed in the reception area of the DRMS office, online at www.mining.state.coms, or <br />they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br />Basic Instructions: <br />I. Insert CD/DVD into your disk drive <br />2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer <br />4. Laserfiche will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br />Disclaimer: <br />The Colorado Division of 'Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user for <br />damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data or <br />information, its use or the results obtained from its use Any data or information provided by the DRSM is provided "as is <br />without warranty of any kind, either express or implied, including, but not limited to the implied warranties of merchantability <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user's <br />sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liability <br />arising out of the use of the data/information provided. <br />Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango <br />t1,7 <br />• S Permitfile(0: <br />4) <br />DVD ® S20.00 per disk <br />LORA D <br />VISION O <br />RECLAMATION <br />4 !AIN ING <br />SAFETY <br />Division of Reclama on, <br />Mining & Safety <br />icke 14 ,55: — <br />Office of <br />Active and Inactive Mines <br />