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Sec. 18.Effec(ive date-This contract becomes effective as indicated below. <br /> ❑ If this contract becomes effective on the date BLM signs the contract,BLM will check this box. <br /> Y. <br /> This is a one-year extension of existing BLM Mineral Material Contract COG-068609,as per request of Jul.22,2009 existing conditions of approval an <br /> mitigation measures remain in place. � <br /> 71 <br /> I LI,sr;&.7s x Payments will continue per monthly production amounts. Entire balance of unpaid remainder of$14 X68.75 is due at end of contract. <br /> Permittee will be liable for any unpaid royalties for any decorative rock/building stone not removed by end of contract extension. <br /> Sec. 19.Appeal-You may appeal any decision that BLM makes in regard to this contract under Parts 4 and 1840 of Title 43 of the Code of <br /> Federal Regulations. <br /> The following parties have executed this contract as of: <br /> PI MnTTA nrn TT_YV T TATT'rUr%CST A Tt7C r%V AAR DTOA <br /> HanKms atone Co.inc. <br /> ���y,r✓ti }- A E) G �� By Jamie Sellar-Baker <br /> (Individual or Firm Name) I� <br /> PO Box 164-Dove Creek,CO,81324 <br /> (Address) <br /> (Phone Number-include area code) (Titlejlr'� � <br /> 03/24/2010 <br /> (Signature) (Date) <br /> (Signahtte) <br /> it you are a corpomnon,ainx corporate seal here: <br /> Title 18 U.S.0 1001,makes it a crime for any person knowingly or willfully to make to any department or agency of the United States any false,fictitious or fraudulent <br /> statements or representations as to any matter within its jurisdiction,subject to a fine of up to$10,000 and imprisonment up to 5 years. <br /> NOTICES <br /> The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d)provide that you be furnished the following information in connection with information <br /> rPnnirnA by thie 4»»lira4inn <br /> 1'tCllVl.lrtfL rLir ruon.oLlvi uJW uuJ 1lliV111IM1Vi1 UJ IUV1U11y U1G 1JA1111-1 G111G1111r,111UJ wlluaA.W Lvl WatJVJU16 va JUUl-Y11uwaA"lO. <br /> ROUTINE USES:BLM will transfer information from the record or the record itself to appropriate-Federal,State,local,or foreign agencies,when <br /> relevant to criminal,civil,or regulatory investigations or prosecutions. <br /> EFFECT OF NOT PROVIDING INFORMATION:If you do not provide this information to BLM,we will not be able to process your application for a <br /> contract. <br /> The Paperwork Reduction Act of 1995 requires us to inform you that: <br /> The BLM is collecting this information to process your application and effect a binding contract. <br /> The BLM would like you to know that you are not required to respond to,this or any other Federal agency-sponsored information collection which does <br /> not have a currently valid OMB control number. <br /> BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average about 30 minutes per response,including the <br /> time for reviewing instructions,gathering and maintaining data,and completing and reviewing the form.Direct comments regarding the burden <br /> estimate or any other aspect of this form to U.S.Department of the Interior,Bureau of Land Management(1004-0103),Bureau Information <br /> Collection Clearance Officer(WO-630), 1849 C Street,N.W.,Mail Stop 401 LS,Washington,D.C.20240. <br /> (Form 3600 q rc^-�� <br />