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i <br /> Receipt for delivery of Natural Soda LLC (NS) Amendment 04 to their <br /> Colorado Division of Reclamation, Mining and Safety (DRMS) Permit <br /> number M-1983-194, Exhibits: A and B. <br /> Delivered one (1) copy of Exhibits A and B of NS's DRMS Permit No. M-1983-194, <br /> Amendment-04. <br /> Delivered to: Rio Blanco County Clerk and Recorder <br /> Delivered on �' 1 <br /> Received by: CA—t <br /> Signature: <br /> Delivered by: /`� ► �� / J ti <br /> Signature: <br /> Note to Rio Blanco County Clerk and Recorder: <br /> • Please place the received items on file, do not record. <br /> • Items placed on file will be retrieved at a later date. <br />