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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department or Natural Resources RECEIV>=D <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 1,IMI '~ '~ 1(~T <br />FAX; (303) 832-8106 I`IW`I <br />Division of Minerals & Geology <br />ASSIGNMENT OF CI <br />i~ECEIVED ~'~ <br />OCT 3 ~ 1997 <br />I <br />DEPARTMENT OF <br />raiw~ian ~l -a~neldia ~ ~~~Fqs RESOLUJRCEL <br />~ivi F <br />LTE OF D~•POSI~n~ra/S~ ~~00~ coVerno of <br />lames 5. Lochhead <br />~~a__ Executive Director' <br />TO WHOM IT MAY CONCERN: "'~Z~ Michael s. Long <br />' Division Director <br />REFERENCE: Certificate of Deposit Number ~l 1QC300 ~ ~5~],j <br />By submission of this letter, to be attached to the above referenced Certificate of Deposit, Ihereby relinquish <br />all title and claim to said certifcate to the State of Colorado/Mined Land Reclamation Board, except for <br />accrued interest against the original monies, until such time as the Division of Minerals aLd Geology/Mined <br />Land Reclamation Board releases the certificate. This assignment of Certificate of Deposit supersedes any <br />signature cards that may already be on file at the bank. <br />BY: r <br />Operator/ (~~,-o~. ~.F4~cy)Z~~~' <br />Depositor of Original Monies <br />If Opera~gr $}gnature),-.,„ ,~•,~,,;,,,, i ~. <br />Expires `n:~ i,ut s r~ a>.:.>r;d~ e~r:ys. ,:~~. ~r,C t/ J.~ <br />DATE: ~r7 ' o7~'r 7 <br />cc: Division of Minerals and Geology <br />1313 Sherman Street, Room 215 <br />Denver, Colorado 80203 <br />Note to Operator: <br />In the event that your bank is unwilling or unable to prepare a certificate of deposit madepayable only <br />to the Mined Land Reclamation Board, this assignment will need to be executed in the presence of a <br />notary wi[h a copy provided to [he bank to allow only Division of Minerals and Geology access to theme <br />funds. <br />3633F.bM <br />REVISED 6196 <br />BANK NAME: ~ f5f SQCU.ri~tKI~.l; <br />