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14paJAP_11 •r—m, <br />Agreement to Conduct Permitting by Electronic Mearns <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty <br />(30) days in the event that his/her authorization to execute ePermitting Documents <br />on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />Affiant's Mme <br />igemiture <br />Notarized Affidavit of Signature <br />STATE OF: /9 e�� ) <br />COUNTY OF: <br />The foregoing instrument was acknowledged <br />before me this 1'7 day of <br />(date) <br />ss. <br />2 -a420 -- <br />(Name of permittee representative) <br />as <br />Atj X017 by <br />(month) (year) <br />(title) <br />of <br />(permittee) <br />BRIAN WINKLER <br />Notary Public <br />eofColoraColorado <br />No10 <br />tary <br />u <br />0My CMmf in ExpiiresJl 1. 2017 <br />(seal) <br />My Commission expires: r <br />v 1�� o) -7- <br />Page 5 of 6 <br />NOITAICY PUBLIC <br />