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JrijGd t,l 113 <br /> �} / ,, NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF (. g o rao/o ) <br /> COUNTY OF CSi� L � �i` Ue I � ss.: <br /> The foregoing instrument was acknowledged before me this �'day of Dac <br /> by 0-a crn en Waf-�i e-O a, c-e� �- of cs i u.e <br /> Notary Public _ y- W <br /> CARMEN LYNN WARFIELD Notary Public My Commission Expires <br /> State of Colorado <br /> Notary ID 20164015831 <br /> My Commission Expires Apr 26, 2020 STATE APPROVAL <br /> [for completion by Division] <br /> (a) The Board hereby approves the transfer of permit number JA 044-/(3 from <br /> to <br /> (b) The Board hereby recognizes <br /> such Permit. <br /> (c) The Board hereby accepts the Performance and Financial Warra Acknowledgement incorrect. <br /> releases a,Should list "Acknowledged by Lynn Black" <br /> Not notary name. <br /> its Performance and Financial Warranties, The Board further re Please complete new page 10 enclosed. <br /> obligations under Financial Warranties associated with the form <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> IbIINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed: <br /> Division Director <br /> - 10- <br />