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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 COLORADODIVISION OF <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> —&— <br /> SAF ETY <br /> 111 Itgi l <br /> ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br /> TO WHOM IT MAY CONCERN: <br /> REFERENCE: Certificate of Deposit Number 00000028438 <br /> By submission of this letter,to be attached to the above referenced Certificate of Deposit,I hereby relinquish all title and <br /> claim to said certificate to the State of Colorado/Mined Land Reclamation Board,except for accrued interest against the <br /> original monies,until such time as the Division of Reclamation,Mining and Safety/Mined Land Reclamation Board releases <br /> the certificate. This assignment of Certificate of Deposit supersedes any signature cards that may already be on file at the <br /> bank. <br /> JORDAN PACHECO <br /> 1 <br /> NOTARY PUBLIC BY: <br /> STATE OF COLORADO <br /> NOTARY ID 20154048253 Operator: Sunrise MIInin LC <br /> MY COMMISSION EXPIRES DECEMBER 29,2019 Depositor of Original Monies <br /> ACKNOWLEDGMENT OF BANK j <br /> NOT Y(Of Operator Si ature) <br /> Commission Expires /.,4 /,7--Ci <br /> SIGNATURE. 'J c-05k. <br /> BY: CAY VQ-, <br /> _ ( JORDAN PACHECO <br /> TITLE: V)-1) a–\tgc r D3t\o-INDA Yl\I- lJt NOTARY PUBLIC <br /> STATE OF COLORADO <br /> DATE: <br /> 01 JoJ f NOTARY ID 2015404825;: <br /> MY COMMISSION EXPIRES DECEMBER y i <br /> Note to Operator: <br /> This assignment will need to be executed in the presence of a notary. The original is held by the Division with a <br /> copy provided to the bank,to allow only Division of Reclamation,Mining and Safety access to these funds <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />