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• <br /> a r . <br /> • STATE OF COLORADO . - <br /> DIVISION OF MINERALS AND GEOLOGY . <br /> Department of Natural Resources <br /> 1313 Sherman St., Room 215 <br /> Denver,Colorado 80203 <br /> Phone:(303)866-3567 <br /> FAX:(303)832-8106 <br /> DEPARTMENT OF <br /> NATURAL <br /> RESOURCES <br /> Roy Romer <br /> ASSIGNMENT OF CERTIFICATE OF DEPOSIT Governor <br /> Ken Salazar <br /> Executive Director <br /> TO WHOM IT MAY CONCERN: <br /> Michael B.Long <br /> #7899 Division Director <br /> REFERENCE: Certificate of Deposit Number <br /> By submission of this letter, to be attached to the above referenced <br /> Certificate of Deposit, I hereby relinquish all title and claim to said <br /> certificate, except for accrued interest against the original monies , until <br /> such time as the Division of Minerals and Geology/Mined Land Reclamation Board <br /> releases the certificate. This assignment of Certificate of Deposit <br /> supersedes any signature cards that may already be on file at the bank. <br /> BY: -�'-- <br /> Op rator/ <br /> Depositor of Original Monies <br /> ACKNOWLEDGEMENT OF BANK <br /> NOTARY f Operator Signa ur. ) <br /> — Commission Expires `L,— <br /> BY: <br /> TI E: JACK RETCHLOF VICE PRESIDENT <br /> BANK NAME: THE FIRST NATIONAL BANK IN ALAMOSA <br /> DATE: 4/22/94 <br /> cc : Division of Minerals and Geology <br /> ATTN: Deborah Mulloy <br /> 1313 Sherman Street, Room 215 <br /> Denver, Colorado 80203 <br /> Note to Operator: <br /> In the event that your bank is unwilling or unable to prepare a <br /> certificate of deposit made payable only to the Mined Land Reclamation <br /> Board, this assignment will need to be executed in the presence of a <br /> notary with a copy provided to the bank to allow only Division of <br /> Minerals and Geology access to these funds . <br /> 8088F (Rev. 11 /92) <br />