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New Horizon Mine <br />IV. Notarized Statement <br />Pursuant to Rule 3.03.2(1)(e) each bond release application is required to provide a notarized <br />statement that the reclamation activities have been accomplished in accordance with the <br />requirements of the act and the approved reclamation plan. <br />I, Daniel J. Casiraro, Senior Manager, Environmental Services, Tri-State Generation and <br />Transmission Association, Inc., hereby certify that the information contained within this <br />application is correct and true to the best of my knowledge. <br />Signed: <br />Name: Daniel J. Ca raro <br />Title: Senior Manager, Environmental Services <br />Tri-State Generation and Transmission Association, Inc. <br />State of Colorado <br />County of )� ��M5 <br />The foregoing instrument was acknowledged before me this 1_h day of _ <br />2Oj� by Daniel J. Casiraro, as the Senior Manager Environmental Services o ri-State <br />Generation and Transmission Association, Inc., a Colorado cooperative corporation, on behalf of <br />the corporation. <br />Witness my hand and official seal <br />My commission expires: <br />3 -R-C-)019 <br />�Ot)4�— -- — <br />Print Name: _Z3 an I Ce AJ6 ti312e 1A <br />IANICE NORCREN <br />NOTARY PMIC S1ATE Of COLORADO <br />" aonUhwUon 020034007464 <br />it Cownew Expm 3AM19 <br />SL -17 Phase III Bond Release Application Page 6 <br />