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SIGNED, SEALED AND DATED this c)/) day of�Mali <br /> lo <br /> Operator (SEAL) <br /> By: <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF <br /> ss.: <br /> COUNTY OFPL <br /> ) <br /> The foregoing instrument was acknowledged before me this.DL5 y of. <br /> by as �YP�S i� 7 of I <br /> ,,DEANNA KEESEE-PANCALDAN <br /> D'TAf orus NOTARY PUB!IC Notary Public ftv <br /> STATE OF ARIZONA 17 <br /> Maricopa Count �- <br /> y My Commission Expires <br /> My Commission Expires <br /> r I•) ' SEPTEMBER 13 2020 <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 /> Rev.05/12 <br /> - 13 - <br />