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COLORADO STATE BOARD OF LAND COMMISSIONEIV, T <br /> ASSIGNMENT RECORD l <br /> FULL PARTIAL a ASSIGNMENT OF LEASE NO. Q�� / 30 <br /> i inconsideration of Ten dollars($10.00)and other valuable consideration eM 1. AY 0K t L L e— <br /> (.4mignor,please Arinir or 6l-) <br /> 2. the within named lessee(s),does(do)hereby assign,transfer and(or)sell all rights,title,interest and(or)claim in and <br /> 3 to this lease in its entirety,or U q namely the "l i✓� of the Section, <br /> (No,of acres rrrA) (Subdivision of Section) <br /> d Township and Range described in this lease,unto 10 tG k U01711r1A4 +mil n 1�1�• S tr�to l �� <br /> (4ss4ruee,please print or <br /> j pW) <br /> 5 address is H V E • ` 0 JO�h 4Ff'K� �• li Ol a- <br /> (Sneer,Building or P.O.Bar No.) (City) (state) (Zip) <br /> 6 who will be the new lessee of record for all,or that par,of this lease above described,to have,hold and enjoy all rights <br /> 7 and covenants of this lease and who will accept and abide b}all laws,rules,regulations and responsibilities pertinent <br /> 8. to and( r) ned herein and in sai lease hfncerorth from 12:00 noon on this�day of� � A.D., <br /> t��i <br /> (Signature oJ.tssrgnor) <br /> -� <br /> 10. <br /> (Seal orAndioriry) <br /> ARY p�N•...• I 1 Signed and acknowledged before me this ��'_ day of -lid ,A D. ZC' I T <br /> A� S(� 2 My commission expires 'AD, <br /> • �°Qly��N t� (scan <br /> r <br /> u •%.... ,•� rn TARYPUBLIC <br /> O • ••° Q �o <br /> c 00LCI? ' a• 13 <br /> r£J SEPTEW"" (rgnWureofAcsrgnee) <br /> Id <br /> (Seal orAudrorir}9 <br /> s� 15 Signed and acknowledged before me this '2 0 1�tday of W L� A.D, ?-Ll <br /> �i y <br /> � P My commission expires A D. <br /> al) '1 l <br /> • ' f <br /> r AUTUMN •'� ti~~ <br /> V <br /> WELL _' OTARYPUBLIC <br /> Cfr� N <br /> ,. �••�•• • ' 0•••••••' Q�'`4�^ APPROVAL OF ASSIGNMENT <br /> OF CO O l lth July 2014 <br /> a -If'�E his Assignment approved by order of the State Board of Land Commissioners this day of A D <br /> FxFinES see <br /> Recommended •aPPd <br /> � H <br /> Pete Milonas,MINERALS DIRECTOR <br /> Phillip J. Courtney, <br /> Solid Minerals Manager <br /> Papa I of l <br />