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SIGNED, SEALED AND DATED this day of <br /> UJU'L L I t'1G <br /> Operator (SEAL) <br /> By: <br /> Title: I i y1a e -vj ..onizLavr <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF c `(0 ) <br /> COUNTY OF <br /> The foregoing instrument was acknowl dged before me this day of UZZ <br /> by U I , ` ' l��Yl as j g. V of �Al- -Gc..)Cf2L I Ir1� <br /> SARAN GREGA Notary Public <br /> NOTARY PUBLIC <br /> STATE Of COLORADO My Commission Expires j Z <br /> NOTARY 1D 20174007757 <br /> MY COMMISSION EXPIRES FEBRUARY 21.T021. <br /> ST <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed; j U• Z Z. <br /> Division Director <br /> Rev.05f I2 <br /> - 13 - <br />