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SIGNED, SEALED AND DATED this day of �\ . <br /> \-E S W G <br /> Operator jR(p 'Q0 <br /> By: -� <br /> rn <br /> Title: <br /> �ORADa <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF l�U `-�r � ) <br /> ss.: <br /> COUNTY OF <br /> � t <br /> The foregoing instrument was acknowledged before me this 0 day of 7LJkA <br /> QC L�.k(Cc' YYof Gl(b P c <br /> TERESE VIRGINIA LOMBARD NotaryP <br /> Notary Public �lic L� A-Lc��/u , @�l� <br /> �- <br /> State of Colorado My Commission Expires <br /> Notary ID#20194005945 <br /> My Commission Expires 02-12-2023 <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 />