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SIGNED, SEALED AND DATED this I day of <br /> Operator (SEAL) <br /> By: <br /> a <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKN E NELSON <br /> �`�, ) NOTARY PUBLIC <br /> STATE Or <br /> STATE OF COLORADO <br /> NOTARY ID 20084008962 <br /> COUNTY OF �L-�� ) My Commission Expires March 23,2020 <br /> The foregoing instrument was acknowledged before me this day of TD(L c- <br /> byc,�� <�- �. ` �\ „ ���£ as��Z i ,��\��, of C_c �1u�c��.V l LL <br /> Notary Publ1� <br /> My Commission Expires <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <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 />