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SIGNED, SEALED AND DATED this I 1 day of M; --2C 4 , 72.y ! <br />L-1— 1,-4 r'ic�12 E LLL <br />Operator ,, (SEAL) <br />By: ?ti�h,� S AT!! - nrs <br />Title: <br />NOTARIZATION <br />Authority to act on behalf of _ C= O L -L- NS a'" t 0 26 t I- - C- for Deep Creek Placer <br />Permit M-86-102. <br />STATE OF Cod-o2A-V o ) <br />ss.: <br />COUNTY OF InQvl�-v DSe ) <br />The foregoing instrument was acknowledged before me this �day of f l0. v-' c_ O ( <br />bylQnle i Ler 0001175 as C.'- ancicaP +� of 6,f/rns MDrelceac� /1 L <br />CINDY RICHARDSON Notary Publici"L"A, <br />NOTARY PUBLIC <br />STATE OF COLORADO My Commission Expires <br />NOTARY ID #20024pri 1, 018 <br />I My Commission Expires April 21, <br />STAtE'aF °CM O - <br />DEPARTMENT O N�RAL SOURCES <br />MINED LAND REC MATI BOARD <br />DIVISION OF RECL N. MINING AND SAFETY <br />By: a xe <br />ivision Director <br />Rev. 05/12 <br />-3- <br />