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d. Such right to enter is in addition to other lawful rights of <br />the State to enter upon such lands. <br />5. The additional stipulations set forth in the attached rider, if <br />any, are incorporated herein by reference. <br />/ / a> Rider is attached. <br />/ X / b) No rider is attached. <br />ACCEPTED AND AGREED: <br />By <br />Operator Title <br />STATE OF <br />COUNTY OF <br />DIVISION OF MINERALS AND GEOLOGY <br />COLORADO DEPARTMENT OF <br />NATURAL RESOURCES <br />)ss <br />vision Director <br />The foregoing instrument was acknowledged before me this <br />19_ by <br />as of <br />operator. <br />NOTARY PUBLIC <br />day of <br />My Commission expires: <br />