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<br />~: <br />reclamation only if the Board nas determined: <br />i. that reclama*_ion required oy law to <br />naV2 peen performed upon such lands nas not been (;erformed. <br />ar,d <br />ii. that financial ~arra~ty forfeiture <br />GrdC22dlnyi tleSCrlbdtl In Lh2 aC2 Or Si r,i lar prOViiiOnS Of <br />iuD52yu2nt lae5r ~•' anyr hdve Joan initi at2C. <br />5. Tne a~]ditional stipulation; set forth in the <br />attaCh2d rider, If any are In:of pOraLed her?in o'y ref erPnCe. <br />/____/ a) Rider is attached. <br />/_~_! b) No ricer is a.tacned. <br />AGCi_?T_C a>.7 a;,REi:J: MINc7 LaNC RECLaMaTIC~: 3GaR7 <br />MINc~ LA"lC Rc.LaMaTIC'l ~IVISIGN <br />CGLGRaGG GcP4RT~'ENT '7F <br />NATURaL RESGURG_S <br />Mobile Premix Concrete, Inc. <br />G~eratOf 71VISIdn ~if2CtOr <br />~~ <br />x e y ~-=-r~,- -- <br />T. W. Meade <br />Notarization of Gperator's Acknowledgment <br />STaT=__ Colorado_,_________) <br />55. <br />CU~NTY GF_ Denv_er,_________) <br />Tne foregoiCtg instrum:nt was acRnowl2dged oefore me <br />tni; ~_ day ofS _ _____, 190~,oy T. W. Meade as President of <br />Mobile Premix Concrete Inc,.,~a~s Operator. <br />,.CTaRV ?UBLIC <br />_ _ , MY COMMISSION EXPIRES AUGUST 10, t985 <br />' 1213 OSCEOIA, DENVER, COLCRAOO 80204 <br />-~_` <br />-4- <br />