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SIGNED, SEALED AND DATED this day of J-P-P)--t-'rrJDV 4 q <br /> Operato (SEAL) <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF to p�,�j y�Q L y ) <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this [3 day of -3-D <br /> by ,n as r of fw % <br /> a`�•�*af a OFFICIAL SEAL Notary Public �vC <br /> SHAUNA APPLE <br /> Notar Public <br /> t y My Commission Expires <br /> State of New Mexi <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: /� • (� l <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />