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SIGNED, SEALED AND DATED this day of S 0,D&-a� <br /> 664n e�f- veep c Cr <br /> Operator (SEAL <br /> By: _ G R <br /> 0 <br /> Title: &Isr <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF ) <br /> ss.. <br /> COUNTY OF ) <br /> The foregoing instrument was acknowledged before me thisIF, day of , <br /> bY 1�3, _L3 ]f�.o-I , as_I(1lflar, of <br /> ROSIN L ROMERO <br /> NOTARY PUBLIC Notary Public __ _ <br /> STATE OF COLORADO � R <br /> NOTARY ID 20184004687 My Commission Expires r)j ` <br /> MY COMMISSION EXPIRES 0112912026 <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> By: �t---•�. Date Executed: <br /> Division Director <br /> Rev.05 12 <br /> - 13 <br />