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-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 proceeaings <br />describes in the Act or similar provisions of subsequent laws, if any, have <br />peen initiated. <br />o) 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 riser is attached. <br />ACCEPTED AND AGREED: <br />,-, ~ <br />Operator v ~- <br />MINED LAND RECLAMATION BOARD <br />i+IINED LAND RECLAf4ATI0N DIVISION <br />COLORADO DEPARThIENT OF NATURAL <br />RESOURCES <br />Division Director <br /> <br />NUTARI~ATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE ~ fK+, -,(_w ~ A i ) <br />) 55. <br />CuUNTY OF /(,'c,e ,<,~.<~ ) <br />The foregoing instrument was acknowledged before me this / ; ~~'~'~ day <br />of ~'~[t~.~c-L. 1 y d _i by -~ - ,, as <br />-~.~ Y, c o ~ _ -~ -~~. _~. ~ i c . ,3 the Aerator. <br />= ADRIENNE CLAIRE BOULIGNV i <br />Notary Public - Stets Of Nevatla' <br />\~ • •OOamtm~m R~mraea m Wnnaa Caunh <br />'^U' MV I,PPOMTMEN~ F.YPiRES MAR ~5, ~W) e <br />My Commission expires: <br />~i :.c... ; . c : y./i u~- IC's=~ j~•~ <br />NOTARY PUBLIC~i./~ <br />ADDRESS <br />/ ~% <br />~+DDRESS <br />~. <br />- . C <br />