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SIGNED, SEALED AND DATED this L3 4-,)) day of �::W4 �zo I q <br /> R,C.'lGr�.Si9n C�-.J���^ a. �T•p�.F �Y� V���lv� ��� Vf'��lUr�-a <br /> Operato� � (SEAL) <br /> By: n <br /> Title: ,y YY 611 <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF <br /> ss.: <br /> COUNTY OF����n ��G n ) <br /> The foregoing instrument was acknowledged before me thi-s. i,3 day of O , <br /> by 11:ti 1 j n fg�16 cykt o,— as V2D2nQ4Lt r\,t v +' of K�v c�S3 G7,sit a- ICt,tiP'Sf� U lu <br /> OFFICIAL:'c <br /> AL Notary Public <br /> SHAUNA ALE `) _ <br /> Notary P My Commission Expires <br /> State of Newexi <br /> My Comm.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 /> i <br /> - 13 - <br />