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New Horizon North Mine <br /> V. 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 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 Gilbreath <br /> Title: Senior Manager Remediation and Reclamation <br /> Tri-State Generation and Transmission Association,Inc. <br /> State of Colorado <br /> County of AdM6 <br /> The fgregoing instrument was acknowledged before me this 4" day of <br /> 20-24 by Chris Gilbreath,as the Senior Manager Remediation and Reclama ion of Tr'-State <br /> Generation and Transmission Association,Inc.,a Colorado cooperative corporation,on behalf of <br /> the corporation. <br /> Notary-Public , <br /> Print Name: qp�/ <br /> Witness my hand and official seal <br /> My commission expires: Daunlce Lynn Kennedy <br /> NOTARY PUBLIC <br /> 41z /� STATE ID COLORADO <br /> G/G NOTARY ID 20204014602 <br /> MY COMMISSION EXPIRES 412M24 <br /> Page 7 <br />