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<br />reclamation only if the ?oard ties determinetl: <br />i. that reclama*_ion required by law to <br />have :,een performed upon such lands has not been performed. <br />and <br />ii. that financial warranty forFeitur_ <br />CrOC22diny5 de;Cribcd in Lh2 Act Or si,r,i l3r provision; pf <br />SUb52'y'Uc'RL laws. if any. lave oeen initiated. <br />h. The ad~itional s*_i puTation; set forth in the <br />attacnao rider, if any. are incorporatetl herein by reference. <br />/____/ ~) Rider is .att aChetl. <br />/____/ b) No ricer is 3ttacneC. <br />%.CGE?ic0 aNJ aGREEJ: MINES LaNC REGLAMaTICN 90;RCi <br />MINcC LaNC ~E,LaMaTIC~J CIVI~IJN <br />~OL~RADO CE~AnTMENT 7F <br />NATURAL R~SOURC=$ <br />~~ .~i9CEt.Upp ~ 6JQ/CK ~ T c ~ ~ /G~ Lt~~ ~`-~r/'t~%~~7 <br />~p~racor division Director <br />~j ,/ <br />(/// ~a~~ <br />%/J~ Notarization of operator's AcknowledGment <br />ss. <br />CJu'PJTY UF~F~i_1250~_____) <br />Try -.foragoina instrument .+a; acknowteoced before me <br />tni; ~~.day of r _____. i99? by __ as~j_ of _ the open tor. <br />`JJTaRr 7'J3LIC <br />-4- <br />~ I i,i.~ ~ i : i <br />