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-~- <br />/ X / a) Rider is attached. <br />/_/ b) No rider is attached. <br />ACCEPTED AND AGREED: DMSION OF MINERALS AND GEOLOGY <br />COLORADO DEPARTMENT OF <br />NATURAL RESOURCES <br />By .~<<~ <br />Operator Title Division Dir for <br />m iRe (T1ancWe ~ <br />STATE OF rac~c~ ) ss <br />COUNTY OF Me5 a ) <br />1 ~o <br />The foregoing instrument was acknowledged before me this ~7~ day of ~kre.vt , t$ ~O <br />by ~~~, Sa-~c~Z as Mine M4r~~ger <br />of ~owc~e~~arr~ ~e..1 C1,iw-fa • ,operator. ; ,;,=~ <br />My Commission expires: <br />7-~7- a001 <br />