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SIGNED, SEALED AND DATED this day of LG �zZ <br /> Operator (SEAL) <br /> By: zw <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF <br /> i lt�r <br /> COUNTY OF C ) <br /> The foregoing instrument was acknowledged before me this day of J UIKO ZZ. <br /> by as Wj&s of ( m —W(2 , t r)C,. <br /> SARAH GREGA Notary Public C O { � �. <br /> NOTARY PUBLIC i <br /> STATE OF COLORADO My Commission Expires <br /> NOTARY ID 20174007757 <br /> MY COMMISSION EXPIRES FEnRUARY 21.2125 <br /> S <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> By: ����.=-T- Date Executed: •�j t� 7i'Z. <br /> Division Director <br /> Rev. 05/12 <br /> - 13 - <br />