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-7- <br />/ X / a) Rider is attached. <br />/_/ b) No rider is attached. <br />ACCEPTED AND AGREED: <br />Operator Title <br />STATE OF C,,,~ov~.-ga ) ss <br />COUNTY OF Q-~I-~- ) <br />DMSION OF MINERALS AND GEOLOGY <br />COLORADO DEPARTMENT OF <br />The foregoing instrument was acknowledged before me (this ,yZ'-P~ day of th #~Z`°O by <br />kt~'{'~ ~ • c].-~10.. ~ as ~..-e a ~ file. v_M ~, <br />of ~p..1ie.IL2se~nr~w 4:iw.:-~.aJ ,operator. <br />My Commission expires: <br />NOTARY PUBLI - <br />-~ , <br />51~~I ~~3 <br />