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SIGNED, SEALED AND DATED this __ clay of <br />A 1117' <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />STATE OF ) <br />a� <br />COUNTY OFA c_ <br />The foregoing instrument wai urhnowledged IKare me this` day c <br />b) as of <br />LM. EAW <br />NOTARYPtNotary Public <br />STATE OF COLORADO <br />NOTARY 10 WDS4021708 <br />MY COMMISSION EXPIRES JUNE23,2D20 My Commission Expires <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />By: Date Executed. <br />Division Director <br />- 13 - <br />Rev. 05 12 <br />