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A DNR COLORADO
<br /> •Co State Land Board
<br /> •
<br /> The Assignor and Assignee acknowledge that the State Land Board has the right to deny this Assignment, in its
<br /> sole discretion, and that the State Land Board roust approve this Assigfi nurit by execution below betoie tnii.
<br /> Assignment becomes effective. Further, the Assignor and Assignee agree that the State land Board s approval of
<br /> this Assignment does not modify any terms or conditions of the Lease which !nay 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: ASSIGNEE:
<br /> AL,„ti i/1r '1 i ,.,-,-4-A., 'Av// DD
<br /> Assignor Name: :T 4 /405er/ ANS 7i Fon f�ssignee Nan e: M o5 ori �xn� ��o,�r p�"q–
<br /> TrziebA e, Mose!-/ /L )A) 5 Z.Z- ,.
<br /> c
<br /> Signature: ignatrlie __-
<br /> 1
<br /> Printed Name: AL V/,'li' Mose/--1 Printed N,irrrt'.2:7'W'P __ rAdU`..c-1-'r_ --
<br /> 17Avr,D M ot''.}-1
<br /> Title: Qw�vt-rt.
<br /> 5 _ rvi n^ee.25 Litle. 61i/+/C--rZ4,4e±,A4F.
<br /> .=�
<br /> Date Signed: 3'28 -aoig - - Date Signed 3-e.g'�C.P/5
<br /> Phone: -71 _S ; e 5 -- 56.5 t
<br /> STATE OF C r✓4 0�= _ ' — — –– — -----
<br /> ) ss ASSIGNOR ACKNOWLEDGMENT
<br /> COUNTY OF S LEA-g- CrZ6- r4 ,/
<br /> On this Z fday of M d.t�--E'` , 20(i&before me, personally appeared A iv,, / CSc, .N J be„,el 1'10 +
<br /> to me known to be the personisr described in aria who executed tt e iuregurrrg instrument, .and ,ickrrowtedged to me
<br /> that he/she executed the same as nis'her tree act and deed. ��
<br /> Z---<
<br /> /GG !i �1J Nv---.- / ' � ' /1 G �t1�G'��
<br /> My commission expires. 3/ / , t--^': ,-i%:�<*rt �7., -,, '-`rr, ;.- A-v vW" — -
<br /> i •� iii bbar����t°uL}tic.
<br /> . ,, ot y
<br /> STATE OF re–lc ry/ t'{ w;11:4'..N`., ,.itf.','j'
<br /> r-- i ST'''':ASSira'F.464 t t t ChiE N T
<br /> COUNTY OF CJt' �-' C":C __-_
<br /> On this ZPS-day of 1"I (V _, 201B, 'actore me, per sof rally appear ed - -;"/_r_a `mak OLA"'�'� dS ,
<br /> to me known to be the persons) described in and who executed the foregoing in;trumenr, and acknowledged to me
<br /> that he/she executed the same as his/her free act and deed. /.647 ....eae----,_'' �" 7;',:i'F'% i :.;;',,l..�:-: ,' "-.tee't Z �_P– ,My commission expires: av= j ;;, rt '-i i yt. r+at
<br /> ;' Notai Pohl r(
<br /> APPROVAL OF ASSIGNMENT –
<br /> ;n consideration of One Hundred dollars (6100 00) and other =.aluahte consideration, the State L4mi Board
<br /> con ents to this Assignment or the Lease tioni the Assignor to '.he Assignee effective this 9 771 day or
<br /> pri _-- 20 / (the Effer_tive Date")
<br /> State of Colorado, acting by and through the0,'""'`04
<br /> State Boar• of Land Co issioners a
<br /> Zvi
<br /> ,.) .
<br /> By: / /�i�� (Seal) . ` 'A.
<br /> Nam- Et Title: i�//�I� V�IL ht� Srkj "rf+�/ •
<br /> ,e.twa'.
<br /> GN} 3L//(�
<br /> ease No. P.ige 2 of 2 Revisei AG bat 201/01'2
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