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L.G. EVERIST, INC. <br />ROCK Soul) S1NCF. 1876 <br />SANG <br />acx: <br />AFFIDAVIT <br />7321 E. 88m AVENUE. Sum: 200 <br />HENDERSON. Cowmm 80640 <br />PRONE 303-287-9606 • FAx 303-289 1348 <br />Acceptance of Reclamation of L.G. Everist, Inc.'s <br />Carbon Valley Parcel of the Carbon Valley Resource, DRMS Permit M-2001-017 <br />Town of Firestone Acknowledgment: <br />The undersigned hereby acknowledges (on behalf of the Town of Firestone) that the Town of Firestone <br />hereby approves the reclamation of the 63.3 acres to be released from the Carbon Valley Parcel in L.G. <br />Everist, Inc.'s Carbon Valley Resource "as is". <br />This acknowledgment does not change or nullify any previously signed contracts, letters, or <br />agreements between the Town of Firestone and L.G. Everist, Inc. <br />Signature: <br />Representative: <br />Title: Town Manager <br />STATE OF COLORADO ) <br />ss. <br />COUNTY OF ) <br />Acknowledged before me this <br />by _ <br />Notary Public: <br />My Commission expires: <br />Notary seal: <br />CV-TownFirestone-Radam ationAs Is-Sep2018.doex <br />Date: <br />day of ,2017, <br />