Laserfiche WebLink
SIGNED, SEALED AND DATED this 1? h day of / V l X, "-,k ,�. <br /> L <br /> Operator (SEAL) <br /> By: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF aMAgw ) <br /> ) ss.: <br /> COUNTY OF IN(A-) ) <br /> rnThe foregoin instru ent was acknowle g d before me this�day of <br /> by as A 1.1of <br /> R A D W Y N N Notary P is <br /> Notary Public <br /> Stale of Colorado My Commission Expir <br /> fary ID#20044032091 <br /> mmission Expires 09-09 2024 <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 /> - 3 - <br />