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SIGNED, SEALED AND DATED this day of <br />Operator <br />Title: p LIX1 er <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />STATE OF �( Q►�9C LJ ) <br />ss.: <br />COUNTY OF L ) <br />C <br />r1 6 i ?-v, <br />(SEAL) <br />The foregoing instrument was acknowledged before me this _6 day of��� , f� <br />by \- �\ti�'- as QL.-;ner of LeiZ:a H Snc <br />Susan K Kitnnan <br />Notary Public Notary Public <br />State Of Colorado 7 <br />Notary ID 20044041221 My Commission Expires -J-2-- -2 c{ <br />My COrC MU10h Ik ires December 24,2016 <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />0 <br />Division Director <br />-3- <br />Date Executed: <br />Rev. 05/12 <br />