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SIGNED, SEALED AND DATED this ISM day of 'JkW 20 /A <br /> ®K•ell,,ss' 5 anod5 LL L <br /> Operator (SEAL) <br /> By: X�— b�L <br /> Title: U�Gc Pre-c4e,44- <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF T gQ44 n Gt ) <br /> ) ss.: <br /> COUNTY OF U 1 60 ) <br /> The foregoing instrument was acknowledged before me this `gam day of Jvssc, ao 16 <br /> � �e®�s®sao ©e� <br /> by �.4v�9sGNGti Q. /M<<e���sn®�m� a ._ QX` ���/Gs�ota.s of do So"d[GC <br /> • NOTARY�° Notary Public <br /> : SEAL :lty_tommission Expires 0z <br /> PUBLIC <br /> �9�j.°•�°oyca�°: Z e: <br /> STATE OF COLORADO O°-°1� e®� <br /> DEPARTMENT OF NATURAL RES°bPI � �,re� <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 />