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SIGNED, SEALED AND DATED this day ofi64� 0- A�& <br /> 611-0 fot':04 "4:f� Aof <br /> Operator (SEAL) <br /> By: Z'4w- me���7 <br /> Title: l/Cic.P a <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF C6 (by-ajp ) <br /> j ss.: <br /> COUNTY OF <br /> he fo1regoin instrument was acknow1pdged before me this (`jday of ,i <br /> by Yl f I C (��►'� as 6ya- llft of t r� <br /> F — CAROL E.REEVES Notary Public <br /> NOTARY PUBLIC <br /> STATE OF COLORADO My Commission Expires <br /> NOTARY ID 19934011404 <br /> MY COMMISSION SXPIRES AUGUST 4,2021 <br /> S AD <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 />