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SIGNED, SEALED AND DATED this day of X grZ <br /> Operator ( EAL) <br /> By: <br /> -ride: Goa. <br /> NO'l'ARIZA'I'ION OF OI'1:RA'FOR'S ACKNOW1,EDCEIVIEN`l" <br /> S'I'A'11-01' .QA o�ra-j o ) <br /> ss.: <br /> COUNTY OF VQ ) <br /> he foregoing instrument was ackno dged before me this day of�tirl , <br /> by rl t ��h IF c-ei:y k? �_or C u-?P A A <br /> CAROL E.REEVES Notary Public . <br /> NOTARY PUBLIC STATE OF COLORADO My Commission Expiresa <br /> NOTARY ID 19934011404 <br /> MY COMMISSION EXPIRES AUGUST 4,2021 <br /> DEPARl'MEN'I'OF NA'rURAI. RI:SOURCI;:S <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SA17E'I'Y <br /> By, _ Date Executed: 2 • p• 2 2 <br /> Division 171rcctor <br /> Rev.05.-l2 <br /> - 13 <br />