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• <br /> <br />AliTHORIZATION TO REPRESENT A PARTY <br />(Please Tvpe Or Print The Requested Information) <br />SIGNATURES irIUST BE hY BLUE L~K <br />1~~is ~: ~~~T~ ~c0~21(~- <br />` ~(p rson's name) (title) <br />of ~ (~ ((name of company, association, organization, etc.) am <br />authorized to delegate ~~~ ~~15 C ~.p 11 , a <br />(person's name) (consu rant, etc.) <br />to represent e S ~ e of person, company, association, organization, <br />etc.) at the Pre-hearing Conference and/o ariag before the Mined Land Reclamation Boazd in <br />this matter. <br />D N DA ~ S DAY OF lJ <br />If corpotadon attest (seal) <br />A otized /S~i'gnature must signed in blue ink) <br />Title: V ~ ~ e <br />State of f'~,I ,L„J o ) <br />ss <br />Counryof G Fr,'rv.or ) <br />The foregoing instrument was acknowledged before me this ~ day of -~`- , / 99 9 . <br />by l~at): s ~ ,Sr.1,~ as ~~ ar,.~~~ of S,l. ~-* r°e~ds <br />,.', \P, <br />~' ~ . , ,) Notary Publ <br />'~ ; . ~ ~ • ~ ~ y•• My commission expires: .~ a n/~ ~/, ,~7c]m <br />6 ,. :., s; <br />'~e~~~,~ <br />~ati~, .. <br />~,t,~~ ~, <br />iZES hIUST iE 1N CLUE INK <br />A:~b{kdoc~pnywve.wp <br />