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SIGNED, SEALED AND DATED this��day of L D 6 <br /> r�rLcnsGs V``I `'� k?C- c c c <br /> Operator (SEAL) <br /> By: C"AAC-L, II451a <br /> Title: F„o, <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATEOF � ) <br /> ss.: <br /> COUNTY OF KAJOx ) <br /> The foregoing instrument was acknowledged before me this 1V 1� day of <br /> by 14Ca C- c,-M as 1 V I a"'5Lr of <br /> Notary Public _ '�,,, - <br /> My Commission Expires -Zp zo <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFETY , <br /> r'r <br /> By: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />