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New Horizon Mine <br /> 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 S. 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 /> Signed: <br /> Name: Chris S. Gilbreath <br /> Title: Senior Manager Remediation and Reclamation <br /> Tri-State Generation and Transmission Association,Inc. <br /> State of Colorado <br /> County of aj=4 <br /> The foregoing instrument was acknowledged before me this_/Z7 flay of , <br /> 20 by Chris Gilbreath,as the Senior Manager Remediation and Reclamation of Tri-State <br /> Generation and Transmission Association,Inc.,a Colorado cooperative corporation,on behalf of <br /> the corporation. <br /> Notary Public. _ <br /> Print Name: fL , <br /> Witness my hand and official seal EDIaneE ROWISon <br /> M commission expires: ry Public <br /> of Colorado <br /> 2 74�2014 <br /> xpi(P <br /> SL-26 Page 5 <br />