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SIGNED, SEALED AND DATED this day of 6c- <br />Operator <br />c <br />Operator V v v t (SEAL) <br />By: <br />Title: <br />f <br />STATE OF �F ) <br />ss.: <br />COUNTY OF� ) <br />�%heoregoin instrument was acknowle ged before me this day of <br />by as Lof <br />FLINT DILL ON Notary Public <br />NOTARY PUBLIC <br />STATE OF COLORADO M} Commission Expires <br />NOTARY ID # 20094040984 <br />MY COMMISSION EXPIRES DECEMBER 21, 2017 <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />By: Date Executed: <br />Division Director <br />-13- <br />r <br />er <br />Rev. 05/12 <br />