Laserfiche WebLink
SIGNED, SEALED AND DATED this day of I/dr�P 7_d l�• <br /> O/c% Sk/Groi he dd l/`r�' �( �.+� a..•�s <br /> Operator (SEAL) <br /> By: <br /> Title: �'f $mac. <br /> —,•—. <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF ) <br /> � ss.: <br /> COUNTY OF _Y <br /> Le foregoing instrument was acknowledged before me this //A day of c�I <br /> c f 4c of ��` 0 0rY/%F�� <br /> by 'pc c as <br /> z �JULic. A. MAL�" ERG M� <br /> NOTARY PUBLIC Notary Publi <br /> STATE OF COLORADO M Commission Expires L <br /> NOTARY ID#20054003624 Y P `" � <br /> l 12 <br /> My Commission Expires Januorr?"',2021 <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> 13y: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> I <br /> - 13 - <br />