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SIGNED, SEALED AND DATED this day of D� 2 J <br /> Operator (SEAL) <br /> By: <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF eb l8 e,iASC <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me th's day of 9—'0z(, <br /> by �,, d�� as S: of �1b�0 �tR l.1..C— <br /> fit---- <br /> ANTUJUANA BOSTON JONES Notary Publi > <br /> NOTARY PUBLIC My Commission Expires <br /> STATE OF COLORADO <br /> NOTARY 10 20214015833 <br /> STATE O Y COMMISSION EXPIRES APRIL 22,202 <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 />