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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources 411 <br /> 1313 Sherman St.,Room 215 RECEIVED <br /> Denver,Colorado 80203 C O L O R A D O <br /> D IV[Phone:(303)866-3567 es ��1 RECLAMATION <br /> state� aural ReSourc and seftt r i�Z`IUG ® 4 2 n 14 MINING <br /> ent o Mining —&— <br /> DePaftm �iamation, iL rs 1/ V SAFETY <br /> Dip. n°f R✓ �Al bi 14-a DIVISION OF REC"TICIN <br /> '.) 3 -) MINING AND SAFETY <br /> ab <br /> RELEASED ON: : <br /> ,M,r f"i!,,:'✓ ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br /> �'V <br /> By:')'O W AY CONCERN: <br /> REFERENCE: Certificate of Deposit Number 3910 <br /> By submission of this letter,to be attached to the above referenced Certificate of Deposit,I hereby relinquish all title and <br /> claim to said certificate to the State of Colorado/Mined Land Reclamation Board,except for accrued interest against the <br /> original monies,until such time as the Division of Reclamation,Mining and Safety/Mined Land Reclamation Board releases <br /> the certificate. This assignment of Certificate of Deposit supersedes any signature cards that may air y be on file aCti�e, <br /> bank. <br /> BY: "': <br /> Operator: Wyatt Red i-Mix Company <br /> Depositor of Original Monies <br /> ACKNOWLEDGMENT OF BANK <br /> Mountain Valley Bank NOTARY(Of Oper0or ature) <br /> j <br /> � Commission Expires ' <br /> SIGNATURE: iu <br /> BY: k I � Ind STORMY R. F6[7TT <br /> ,/ NOTARY PUBLIC <br /> TITLE: A,U �l��S l to X STATE OF COLORADO <br /> ' NOTARY ID#20024021005 <br /> DATE: ' My Commission Expires April 23,2017 <br /> Note to Operator: <br /> This assignment will need to be executed in the presence of a notary. The original is held by the Division with a <br /> copy provided to the bank,to allow only Division of Reclamation,Mining and Safety access to these funds <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />