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o1 44►�nni 194e7 <br /> sl%•�OTAR y\ '$ <br /> s <br /> NOTARY FOR PROSPECTIVE SUCCESSOR <br /> ) • <br /> u�'• PUBIAC''• .V <br /> 71. i <br /> STATE OF /"evc,y .. . .gjCAR—a,i&ss.: <br /> COUNTY OF J-6- -exIVY\ <br /> ) ioNmcIXai <br /> The foregoing instrument was acknowledged before me this G day of \\A M1/41) <br /> byDGri21 \ C O\nn i asStAgrc Chea(/P of P. ilc s L <br /> - � <br /> Notary Public 1i! .( Tall <br /> My Commission Expires 1 �j <br /> STATE APPROVAL <br /> [for completion by Division] <br /> (a) The Board hereby approves the transfer of permit number from <br /> to <br /> (b) The Board hereby recognizes as Successor Operator under <br /> such Permit. <br /> (c) The Board hereby accepts the Performance and Financial Warranties submitted by Successor and hereby <br /> releases ,as former Permittee from all obligations under <br /> its Performance and Financial Warranties. The Board further releases all affected financial warrantors from <br /> obligations under Financial Warranties associated with the former Permittee. <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 /> - 10- <br />