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<br />-3- <br />i. that reclamation required by law to have been performed <br />upon such lands has not been performed, and <br />ii. that financial warranty forfeiture proceedings <br />described in ttre Act or similar provisions of subsequent laws, if any, have <br />been initiated. <br />6) The additional stipulations set forth in the attached rider, if <br />any, are incorporated herein by reference. <br />/ / a) Rider is attached. <br />/~/ b) No rider is attached. <br />ACCEPTED AND AGREED: MINED LAND RECLAMATION BOARD <br />MINED LAND RECLAMATION DIVISION <br />COLORADO DEPARTMENT OF NATURAL <br />RESOURCES <br />~ ~° <br />Division Director <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE (o,c~,cs-y n nf'~ ) <br />ss. <br />COUNTY OF ) <br />The forego ng instrument w ~ Inow ge before me this ~~ day <br />of ~~ by as <br />i~,,,y~yy~~,,,, o the Operator. <br />~i Y~7, .1-~~~u~,a~ <br />Po,~~7 <br />ADDR/E~S'SQ / /'~ ~ <br />l~Grn ~0/ ~8°~~oi. C--dCO. <br />ADDRESS ~'o~'i p <br />My Commission expires: <br />