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- --- -- -II --- ~ ... <br />~~I Il~~l~~l~~~l~ ~I~ <br />AUTHORIZATION TO REPRESENT A PARTY <br />(Please Tvpe Or Print The Requested Information; ~ECE~VE® <br />SIGNATURES MUST BE IN BLUE INK ApR 16 2001 <br />I _ ,~i'uC~ W , 1\(~pD Bivision of Minerals and Geology <br />(Person's Na (Cnle) <br />of <br />(name of company, association, organization, etc.) am <br />authorized to delegate i„xOYI ~O~Pr - - _ _ _ , a G~Or. <br />~j rn (Person's Name) ( onsultant, etc.) <br />to represent ,IIYUCt '~. SRI ~t~.t. (name of person, company, association, <br />organization, etc.) at the Pre-hearing Conference and(or Hearing before the Mined Land Reclamation <br />Borad in this matter. Representative's phone number (~) 24~ - QYI'~ ,and address <br />1 ~4 I 18~ ~d"reR.`~. ~t ;~~ 30~ ~k.+,~~- CO D2o2 . <br />(Scree[ Address) (City) (Scale) (ZIP) <br />SIGNED AND DATED TxIS ~ ~ +h DAY OF ~ P f ~' 00I <br />l ~ <br />!clew ~/, ~ /t[,f / If corporation attest (seal) <br />Authorized Signature (must be s ed in blue ink) <br />STATE OF CO~OrGi~O <br />/ ~ ss. <br />COUNTY OF L_!.~ r~ YYte-~ ) <br />The fQQoregoing instrument was acknowledged before me this I I+~ day of A P r[ I , !-^-(_, <br />by_ y~~ w, 1Z: D~0~2 as of <br />' ~ NOTARY PUBL C <br />__ _ - My Commission expires: My Commission E><phES 1 ~-2003 <br />,~ - _ _ _. 1+113 c.. a~rmol~i <br />""'SIGNATURES MUST BE IN BLUE INK <br />M.bsstpmmUwhenxvion io Repnsem a Pany.da< <br />