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A7COLORADO <br /> State Land Board <br /> The Assignor and Assignee acknowledge that the State Land Board has tree right to deny this Assigns-lent, in its <br /> sole discretion, and that the State Land Board must approve this Assignment by execution below before this <br /> Assignment becomes effective. Further, the Assignor and Assignee agree that. ti ie State Land Board's approval of <br /> this Assignment does not modify any terms or conditions of the Lease which may be implied by documents <br /> provided to the State Land Board related to this Assignment, other than the "Lessee of Record" for the Assigned <br /> Lands. <br /> The Assignor and Assignee, by their signatures below, agree to the terms and conditions of this Assignment. <br /> ASSIGNOR: A L v,,v.41 Cx"c J i ,tom T-A J/p ASSI NEE' <br /> Assignor Name:_!- ,Mosey/ ,A,v� F'o/n Assignee Name: dS cry �'��r <br /> aTfZ1,1JA < Moscri �^% 5 LLc <br /> Signature: _ uc- � jgnature: <br /> Printed Name: LPL VI ,A o SLI-I Printed Nang u�� )A,].,'li' o�« r <br /> VAY rD <br /> Title: C7u1Aj,---rLS� <br /> Date Signed: t° Date Signed; <br /> STATE OF CQI-Q P,ADO ) Phone: ­7 -I 5_�3 �5--5(�jam, — -- <br /> ss. ASSIGNOR ACKNOWLEDGMENT <br /> COUNTY OF LE` C'K:'&rQ <br /> On this Z6, day of 20( before me, personalty appeared A 1%, <br /> to me known to be the person(s) described in and who executed the turegoing Instrument, and acknowledged to me <br /> that he/she executed the same as his/her free act and deed. <br /> My commission expires: 3/ / ►. <= _ ��' <br /> TATE Mi)TARP P;'81_;;; otary Public <br /> STATE OF Ce:(u 1" n/7+ Y <br /> } ss. SSfCF=ALIEN T <br /> COUNTY OF 6e Q= L' d_ ) <br /> On this Z day of 201f, before me, personalty appearedrv�c'•1s �, <br /> to me known to be the person(s) described in and who executed the foregoing instrument, and acknowledged to me <br /> that he/she executed the same as his/her free act and deed. <br /> My commission expires: �GAPIvL i <br /> ataI1( <br /> ,h • Ft rot tt if .' aJ i <br /> APPROVAL OF ASSIGNMENT <br /> ;n consideration of One Hundred dollars ($100,00) and other Valuable consideration; the State L qqIo Board <br /> con ents o this Assignment of the Lease froth the Asst,Itor to the Assignee effective this aay of <br /> if� I i __, 20 -_/I__ (the "Effective Date"). <br /> State of Colorado, acting by and through the <br /> Stat/Roar of Land Co issioners By: �s��AfP/ (Seat) <br /> Name: <br /> Lease No.GI •1 31-IJO Page 2 or Revised AG DEH__20170i <br />