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06/04/01 MON 11:40 FAC 970 785 2590 WCB PLATTEt'ILLE <br />. • • <br />AUTHORIZATION TO REPRESENT A PARTY <br />(Please Type Or Print The Reouested Information) <br />/ SIGNATURES. MUST BE 1N BLUE INK <br />I, ~ ~ /~ '1'C . ~F~t~ Yep ~~ (x~..(l`lri' <br />(Person's Name) (T'itle) <br />of [J '><7o uJi~ 2 .-38 PLaNf ° ` (name of company, association, organization, etc.) am <br />authorized to delegate P. Andrew Jones and Kim R. Lawrence, attomevs , <br />(Person's Name) (Consultant, etc.) <br />to represent !~~ •~ }, °h! J~ ~>~. k- r ,~ (name of person, company, association, <br />organization, etc.) at the Pre-heazing Conference andlor Hearing before the M fined Land Reclamation <br />Board in this matter. Representative's phone number (9701 356-9 1 60 ,and address <br />1011 11th Avenue , Greeley Colorado, 80631 <br />(Street Address) (City) (State) (Zip) <br />SIGNED AND DATED THIS _~ DAY OF '~ , <br />i <br />,j~ J~/.~5t(J ~„~~ - cC~.rr._,c _ If corporation attest (seal) <br />Authorized Signature (must be signed in blue ink) <br />Title: E>Lu A,' z.-y~ <br />STATE OF ~-~~~ ) <br />rr )ss. <br />COUNTY OF l ~/Q ) <br />The foregoing instrument was acknowledge before me this ~ day of C,C,~ - ,C~~O <br />by:~_z.`Y1~4 ~C~~r_% as ~~(~-)1.c:t of (71 ~P~. <br />~SPptl PUe,O ~ l / ;C ~ <br />`. BRENDA K..~. NOTARY PUBLIC <br />iDDENBAUGHo <br />v'j;:, :.pp My commission expires: ~r^"-( ~-7GC~ 1 <br />9lE OF C~~~~ <br />SIGNATURES MUST BE IN BLUE INK <br />t~oo2 <br />