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-~- <br />/ X / a) Rider is attached. <br />/_/ b) No rider is attached. <br />ACCEPTED AND AGREED: <br />Byp,_ f. (~irlA~~ yPUM <br />Operator Title <br />STATE OF ~-S,~C~ ) ss <br />COUNTY OF ~~~Ic, ) <br />DIVISION OF MINERALS AND GEOLOGY <br />NATURAL <br />;~~ 6~ ~ <br />The foregoing instrument11w__as acknowledged before me this ~ day of Vt~ -~ (_.~, 20 C~'a by <br />~r~1lQC ,.--, NClV\SDr~ as y ~Cl ~ U <br />of 4 ~SCX.LU"C C` ,operator. <br />WE(~ <br />~~.., <br />ARY~ N ARY PUBLIC <br />My Commission expires: Oy,'. A p <br />'•.,(/ <br />1~ .,,8 ~;,,. <br />~Mj C~iss~ion5ExpiroB Op oo~o <br />~~ <br />COLORADO DEPARTMENT OF <br />