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Yummv ..... .,xr�1P <br /> SIGNED, SEALED AND DATED this day of <br /> _ <br /> Operator (SEAL) _.er_.. <br /> „.. . �� <br /> Title: ._. '� <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF <br /> ss.: <br /> COUNTY OF...... ) <br /> The foregoing instrument was acknowledged before me this day of l by �. .... as _._ :, mr ,,.,..�..,. .�A.��.... ...of .� ��: , - <br /> ELIZABETH WALKER Notary Public <br /> Notary Public <br /> State of Colorado My Commission Expires <br /> Notary ID#20234019101 <br /> y Commission Expires 05-19-2021 <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: .w..,.I A Ptl <br /> Div aon Dire,. <br /> ctor <br /> Rev.05/12 <br /> - 13 - <br />