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-4- <br />Note: A One-Site Prospecting Financial Warranty should be filed in the <br />amount of 52,000.00 per acre of land to be d isturbed unless the prospector <br />demonstrates in this Notice that a lesser amount will cover the amount that <br />it would cost the Board to complete reclamation. A statewide Financial <br />Warranty must be posted in the amount of E25,000.00. <br />The prospector will post a surety in the amount of 5 ZS,AOr~.a o <br />The undersigned understands, accepts and agrees to comply with the foregoing terms <br />and conditions and with all of the provisions of Rules 5 and 6. <br />~A~^ ~a.vrn~d/cnonl~ rNG <br />Date 'Signature o r pector/Claimant <br />~iorf /¢f-Fa:~S /V/a.rye. <br />6902E (01/95) <br />