Laserfiche WebLink
SIGNED, SEALED AND DATED this _ Zo /- day of IJ U ✓e-+� (!��a/, 0 1 <br />Operator <br />By: <br />Title: <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />STATE OF C0j0Ve^&(-) ) <br />) ss.: <br />COUNTY OF 5u—'Y'� ; ) <br />(SEAL) <br />The foregoing instrument was acknoAtedged before me this W day of 0i OV 20 <br />by reG . DVV- A( -'Vas _L o <br />Notary Publi <br />My Commission Expire <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DMSION OF RECLAMATION, MINING AND SAFETY <br />By: Date Executed: <br />Division Director <br />-13- <br />Rev. 05/12 <br />tfc <br />