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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> • Deportment of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 C OLORADODIVISION OF <br /> Phone:(303)866-3567 RECLAMATION ' <br /> FAX:(303)832-8106 MINING <br /> _&— <br /> SAFETY <br /> MIC) i5 <br /> ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br /> ECEIVED <br /> TO WHOM IT MAY CONCERN: <br /> REFERENCE: Certificate of Deposit Number 00000024457 JAN 2 4 2017 <br /> By submission of this letter,to be attached to the above referenced Certificate of Deposit,I hereby relinquish all title a l(dReclamation, <br /> claim to said certificate to the State of Colorado/Mined Land Reclamation Board,except for accrued interest againstthp& Safety <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 /> c _ <br /> BY: ')41- �S al <br /> Operator: unrise Mi ' g LLC <br /> Depositor of Original Monies <br /> ACKNOWLEDGMENT OF BANK ) <br /> NOTARY(Of Operator Signature) <br /> Commission Expires i.,?/ 9 7C,/y <br /> SIGNATU• . I I `� <br /> 111 ilk <br /> BY: Al S ` v(l <br /> _ ` JORDAN PACHECO <br /> TITLE: ....3-Y-Y � cbk ,ht_W bant- Oc DS NOTARY PUBLIC <br /> STATE OF COLORADO <br /> DATE: CAjc --)1 <br /> \1 NOTARY ID 20154048253 <br /> MY COMMISSION EXPIRES DECEMBER 29,2019 <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 />