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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />Request for the DRMS document images on <br />yoaer (Puci;'rq -{ <br />614- tq7 7•- .iO 2) <br />eii 4 re Per ri i-f- <br />The DRMS document images can be copied <br />this form with your payment to DRMS. If a <br />V CD @ $5.00 per disk or <br />3) <br />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.co.us, 01 <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 />1. 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 />DRMS cannot provide computer related support. <br />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user f< <br />damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data ( <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as i <br />without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantabilit <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user <br />sole risk, and the user agrees to indemnify and hold harmless the DBMS, its officials, officers and employees from any liabilii <br />arising out of the use of the data/information provided. <br />Customer Mailing and Contact Information: <br />Print Name: X L-/qAC C li E <br />Company: <br />Address: <br />Phone: <br />ignature: <br />Office of <br />Mined Land Reclamation <br />LA, <br />Document Imaging CD/DVD <br />O_UEST. FORM <br />the following DRMS Permit file(s): <br />to either a CD or a DVD. Please check one below and return <br />CD is requested and the permit is too large for a CD, you will be called. <br />DVD @ $20.00 per disk <br />TeilAISir /X COAL C /cre Co <br />trig' q E'` Cc3Si/ 1_6_4- r <br />COLorl4vo SP/Z14/6,f; Co 70962 <br />Denver • Grand Junction • Durango <br />STATE OF COLORADO <br />4) <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />— &— <br />SAF ETY <br />RECEIVED <br />JAN 26201Z <br />Division of Reclamation, <br />Mining & Safety <br />DBMS use only <br />CD/DVD created and <br />/Li <br />l e <br />Office of <br />Active and Inactive Mines <br />