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SIGNED, SEALED AND DATED this day of oz-z <br /> - W � n C <br /> Operator (SEAL) <br /> By: - <br /> Title: 4 <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF Ire _ v } <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of O ZZ <br /> by�t L Va 4,W-h a t tAj 6-N ro ygp of - �n I I t,& <br /> SARAN GREGA } <br /> NOTARY PUBLIC Notary Public r o'calk <br /> STATE OF COLORADO <br /> NOTARY ID 20174007757 My Commission Expires t Z <br /> MY COMMISSION EXPIRES FEBRUARY 21.ZUS <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed: •Z Z. <br /> Division Director <br /> Rev.05?12 <br /> - 13 - <br />