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IAND DATED this : day of ! Y L �i� .M <br /> SIGNED, SEALED _ � ,—2t • <br /> Warrantor (SEAL) <br /> e- <br /> By: , <br /> AAorize a e <br /> Title: P.,IfS <br /> NOTARIZATION OF WARRANTOR'S ACKNOWLEDGEMENT <br /> STATE OF -k�eLC '�r� � C ) <br /> _J �lI ) ss.: <br /> COUNTY OF Ij 1 ) <br /> The foregoing instrument was acknowledged before me this I1-5 day of <br /> by .J o e t(oz I q ot� as t'��S i c��c1 f of CoA c a l l U kd —LM true„fL!`e/ <br /> Notary Public <br /> *my <br /> OFFICIAL SEALSHAUNA APPLE My Commission ExpiresNotary PublicState of New Mexi o Comm.Expires ac�;D <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 /> M:\min\share\bondforms\CASH BND.doc Rev 05/12 <br /> - 6- <br />