Laserfiche WebLink
-~- <br />/ X / a) Rider is attached. <br />/_/ b) No rider is attached. <br />ACCEPTED AND AGREED: DIVISION OF RECLAMATION, MINING AND SAFETY <br />COLORADO DEPARTMENT OF <br />NAT R~E~SO~U )RCES <br />Op rator Title Division Director <br />STATE OF <br />COUNTY OF <br />ss ;- <br />~: <br />.~ <br />^~_ <br />:; - . <br />The foregoing instrument wasa/c/knowledged before me this ~,~Q day of 20 o G by <br />n V 7C d.[Al a$ C ~6llx~ "~~Z ~6~ <br />of ~.P ~A..tie..,.., ,operator. <br />NO PUBLIC <br />My Commission expires: <br />ll~~la~ <br />-~ <br />