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<br />AUTHORIZATION TO REPRESENT A PARTY RErEI VE® <br />JAN 0 3 1~f6 <br />(Please Type Or Print The Requested Information) Division ~f MiWerals and Geology <br />SIGNATURES ST BE IN BLUE INK <br />>lif,~ ~.~ERCsrE~ <br />(person's name) (title) <br />of (name of company, association, organization, etc.) am <br />authorized to delegate ~ l G ff RR,i) A[~ n S , a 1" <br />(person's name) (w sultant, etc.) <br />to represenn~/~2~~z_ 1~~TFe (name of person, company, association, organization, <br />etc.) at the Pre-hearing Conference and/or Hearing before the Mined Land Reclamation Boaid in <br />this matter. <br />SIGNE AND A ~ DAY OF ~~".ri,~.. <br />If corporation attest (seal) <br />Authoripzed Signature must signed in blue ink) <br />Titlo: I ~ (~ C9L~ ~1.~ ~1 F (~ <br />State of ~~~~ ~ ) <br />// n ) ss <br />County of Yr! . P~l~ CS ) <br />The foregoing instrument was aclmowledged before me this <br />h~ ~/,1 F ~G l'~i~ ~ as <br />~~; ~P,1' PUp~ <br />:i <br />~~~'' ~ " ~' s C' <br />.:'~i . <br />.'c`~= <br />.U c~ <br /><~ <br />~- <br />dayof ~A~ 1c~ 2~/ ,~. <br />;u_~ ~ <br />~n , <br />Notary Public <br />commission expires: ~ ~'t~ ~ "~)~ <br />SIGNATURES MUST BE IN BLUE INK <br />A:Wlkda~prtywvawp <br />