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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 the 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 />Operator Division Director <br />By ~o~~~,tr <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE ~.4./if10~rJ ) <br />ss. <br />COUNTY OF mt,eJ ) <br />The foregoing instrument wa <br />of , ~~ by <br />0 <br />`' " <br />__ _~ <br />acknowledged before me this o2O day <br />~f~ed ~~D~fS as <br />-~er~a• E'l'i . ~PeuQ,sJ <br />NOTARY PUBLIC <br />P O. ~)L ~~ <br />ADDRESS <br />/ll~iCd? ~ . c~f(3.~ ~' <br />ADDRESS <br />My Commission expires: <br />r~.J-~ <br />