Laserfiche WebLink
SIGNED, SEALED AND DATED th•is day of J 06tiVi�� , ' I <br /> y <br /> �'� JV � \YNA�� L a,\ , L& <br /> Operato / (SEAL) <br /> By: <br /> Title: C` in L. <br /> S NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF CiA D'(C ti j ) <br /> ) ss.: <br /> COUNTY OF C ) <br /> �lti p <br /> The foregoinginstrument\ was acknowledged befo e me this I' day of. 10.4 CJ , "V' )), <br /> by TeLk � A .ti7 as Vlbral !'V�(�Y1 'Vti' of ').1'A. ' " _ ' i LLt <br /> Notary Public hi. . 1 i ft,,14 <br /> My Commission Expires . / <br /> 9tpL'L'NtldVS rNOISSW$00 AN <br /> STATE OF COLORADO 99L9IOPLIOL 01 ANION <br /> DEPARTMENT OF NATURAL RESOURCES 00%10100 40 3L418 <br /> MINED LAND RECLAMATION BOARD 19 <br /> DIVISION OF RECLAMATION,MINING AND SAFETY 8114 AMON <br /> N0 <br /> • <br /> By: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />