Laserfiche WebLink
SIGNED, SEALED AND DATED this �,?7 " day of —2c/7 . <br /> Operator (SEAL) <br /> By: <br /> Title: C eg)P;, <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF t_,�)tppilAd ) <br /> ) ss.: <br /> COUNTY OF Ri O Q MAt-d ) <br /> The foregoing instrument was acknowledged before me this 2?{k'day of SC-L4 <br /> by LOOPk e K• S�NLA+3 as gf-PetA( fA(`03er of <br /> DEAN H. HUBBELL Notary Public(Z6 ' <br /> NOTARY PUBLIC <br /> STATE OF COLORADO My Commission Expires 2 2-0 2-0 <br /> NOTARY ID 19874094507 <br /> S OCTOBER 2,2020 <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 /> Rev.05/12 <br /> - 13 - <br />