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SIGNED, SEALED AND DATED this day of So- wt t s r <br /> Operator (SEAL) <br /> By: �� 1� lCer <br /> Title: ? pw✓I ej- <br /> NOT IARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF 0o /vn cL do ) <br /> ss.: <br /> COUNTY OF e 11-o►— ) <br /> The foregoing instrument was acknowledged before me this 3�5+day of�Qi4VAL Lt Y w( L , <br /> by—::S-u tee as of M err ray e . <br /> SUSAN A GREENE Notary Public l� <br /> NOTARY PUBLIC My Commission Expires <br /> STATE OF COLORADO <br /> NOTARY ID 20054045242 <br /> MY COMMISSION EXPIRES DECEMBER 4,2017 <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 />