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SIGNED, SEALED AND DATED this ;D day of c �p <br /> Operator( (SEAL) <br /> By: 1. 4 , G <br /> Title: �(> <br /> DARCI DAWN BERTRAM <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID#20144030882 <br /> MY COMMISSION EXPIRES AUGUST 05 2018 <br /> �� NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF L:�d'�(JZ 0904 ) <br /> ss.: <br /> COUNTY OF lC/&C_ ) <br /> The foregoing igstrument was acknowledged before me this eday of <br /> by ,as I_ -) of <br /> Notary.Public _ <br /> My Commi n Expires <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOUR <br /> MINED LAND RECLAMATION BO <br /> DIVISION OF RECLAMATION, ING AND SAFETY <br /> By: Date Executed: <br /> ivision Director <br /> Rev.05/12 <br /> - 13 - <br />