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In Witness Whereof, the parties hereto have caused this Agreement to be executed by <br /> their respective officers duly authorized and attested as of the date first above written: <br /> FOR THE GRANTOR: <br /> Date: By: <br /> Printed name: <br /> Title: <br /> State of[insert state] <br /> County of[insert county] <br /> On this [insert date],before me personally came [insert name of Caldera's signatory] to me <br /> known, who, being by me duly sworn, did depose and say that she/he is [insert title] of Caldera <br /> Mineral Resources, LLC, the entity described in and which executed the above instrument; and <br /> that she/he signed her/his name thereto. <br /> [Signature of Notary Public] <br /> FOR THE TRUSTEE: <br /> Date: By: <br /> Printed name: <br /> Title: <br /> State of[insert state] <br /> County of[insert county] <br /> On this [insert date],before me personally came [insert name of Trustee's signatory] to me <br /> known, who, being by me duly sworn, did depose and say that she/he is [insert title] of[insert <br /> name of Trustee],the entity described in and which executed the above instrument; and that <br /> she/he signed her/his name thereto. <br /> [Signature of Notary Public] <br /> 10 <br />