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Agreement to Conduct Permitting by Electronic Means <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 /> f-ar 51 /Lieu-ex-thAlf <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> (' /oro Geo <br /> COUNTY OF: 4.0jise_ ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this (f day of (},/-0,60" , 020/1 by <br /> (date) (month) (year) <br /> as <br /> c rc�-c.zY -A,74 rip 1,1/4,r� C�-�y 1/1/ v%.a- -r <br /> (Name of permittee representative) (title) ' <br /> of <br /> (permittee) <br /> UNITA ANN VANCE flP <br /> Notary Public <br /> State of Colorado <br /> Notary ID#20174039621 NOTARY PUBLIC <br /> My Cornmissiori mires 09-21-2021 <br /> (seal) <br /> My Commission expires: <br /> -c.2) )10)-/ <br /> Page 5 of 6 <br />