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SIGNED, SEALED AND DATED this 21 day of A04 <br /> 6-p(6- Ito "T{f �i7��G(/lJt� I- D O�ity 550C; <br /> Operator - (SEAL) <br /> By: le�74 <br /> 'ride: e1go+, L-,-:Z <br /> If <br /> r WrARIZATION OF OPE;RA'I`OR'S ACKNOWLEDGEME I' <br /> S'f A'I'L OI` 1, 0 ) <br /> ss.: <br /> COUNTY O } ) <br /> lie foregoin instrument was acknow dged bcrore me this o9 M'�day of <br /> by as� Y� 1�c.�}1.4 —ofr <br /> CAROL E.REEVES Notary Public <br /> NOTARY PLIBUC <br /> STATE OF COLORADO My Commission Expires — --o'�0 a f <br /> NOTARY ID 19934011404 <br /> MY COMMISSION EXPIRES AUGUST 4.2021 <br /> S" A J <br /> DEPAR"I'ML'•N'1'OP NA"I'URAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFE"rY <br /> By: _�_ Dale I;xccuted: <br /> Division Director <br /> Rev.05.12 <br /> _ 13 _ <br />