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IV. Notarized Statement <br /> Pursuant to Rule 3.03.2(1)(e) each bond release application is required to provide a notarized <br /> statement that the reclamation activities have been accomplished in accordance with the <br /> requirements of the act and the approved reclamation plan. <br /> I, Chris Gilbreath, Senior Manager Remediation and Reclamation, Tri-State Generation and <br /> Transmission Association, Inc.,hereby certify that the information contained within this <br /> application is correct and true to the best of my knowledge. <br /> r � <br /> Signed: <br /> Name: Chris Gilbreath <br /> Title: Senior Manager Remediation and Reclamation <br /> Tri-State Generation and Transmission Association, Inc. <br /> State of Colorado <br /> County of Adams <br /> The foregoing instrument was acknowledged before me this 18th day of February, 2022 by Chris <br /> Gilbreath, as the Senior Manager Remediation and Reclamation of Tri-State Generation and <br /> Transmission Association,Inc., a Colorado cooperative corporation, on behalf of the corporation. <br /> Notary Public <br /> Print Name: Diane E. Robinson <br /> Witness my hand and official seal <br /> My commission expires: <br /> Diane E Robinson <br /> Notary Public <br /> State of Colorado <br /> Notary ID 20034022307 <br /> My Commission Expires December 4,2024 <br />