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TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1373 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />Rill Owens <br />Covenpr <br />Russell George <br />Executive Director <br />ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br />TO WHOM IT MAY CONCERN: <br />COLORADO <br />DIVISION O F <br />MIN &RALS <br />GEOLOGY <br />Ronald W. Caaany <br />Division Director <br />Natural Resource Trustee <br />REFERENCE: Certificate of Deposit Number 6026636 <br />By submission of this letter, to be attached to the above referenced Certificate of Deposit, I hereby relinquish all title and <br />claim to said certificate to the State of Colorado/Mined Land Reclamation Boazd, except for accrued interest against the <br />original monies, until such time as the Division of Minerals and Geology/Mined Land Reclamation Boazd releases the <br />certificate. This assignment of Certificate of Deposit supersedes any signature cazds that may already be on file at the <br />bank. <br />BY:~~ <br />Operator: Maverick Sand & Gravel <br />Depositor of Original Monies <br />ACKNOWLEDGMENT OF BANK <br />SIGNATURE: f~ ' <br />DATE: ~ a,~/ ?, /U <br />Note to Operator: <br />~~ <br />P10TA. f Operator Signature) <br />Commission Expires l - a l - 3-o U („ <br />This assignment will need to be executed in the presence ofa notary. The original is held by the Division with a <br />copy provided to the bank, to allow only Division of Minerals and Geology access to these funds <br />Office of <br />Colorado <br />Office of <br />Minh I and eo,-t~..,~.~..~ <br />