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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 Reclamation and Remediation,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: S)N�' <br /> QL� . <br /> Name: Chris Gilbreath <br /> Title: Senior Manager Reclamation and Remediation <br /> Tri-State Generation and Transmission Association,Inc. <br /> State of Colorado <br /> County of <br /> The fo egoing instrument was acknowledged before me this 21!day of <br /> 20 by Chris Gilbreath,as the Senior Manager Reclamation and Remediation of Tri-State <br /> Generation and Transmission Association,Inc.,a Colorado cooperative corporation,on behalf of <br /> the corporation. <br /> Dawnice Lynn Kennedy ` <br /> NOTARY PUBLIC <br /> STATE OF COLORADO Notary Public �� <br /> ..�NOTARY 20204014602 O�I <br /> __ _ /,i�L�-j�} J <br /> MY COMMISSION EXPIRES 4I22/2024 Print Name: <br /> Witness my hand and official seal <br /> My commission expires: <br /> Page 5 <br />