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<br />. -. <br />-3- <br />i. that reclamation required by law to have been performed <br />upon such lands has not been performed, and <br />ii. that financial warranty forfeiture proceedings <br />described in the Act or similar provisions of subsequent laws, if any, have <br />been initiated. <br />6) The additional stipulations set forth in the attached rider, if <br />any, are incorporated herein by reference. <br />/ / a) Rider is attached. <br />! X( b) No rider is attached. <br />ACCEPTED AND AGREED: <br />i <br />~Gl./«~T ~f~ <br />Operator <br />MINED LAND RECLAMATION BOARD <br />MINED LAND RECLAMATION DIVISION <br />COLORADO DEPARTMENT OF NATURAL <br />RESOURCES <br />Division Director <br /> <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE l~~s~>-, ) <br />ss. <br />CUUNTY OF ~},~o~., . / } <br />The foregoing instrument was acknowledged before me this ~'D ~ day <br />of _7~L~' by ~ as <br />~~~,,,,,_, f_ o the Aerator. <br />- - - NOTARY PUBLIC <br />- a= <br /> _ ~. - <br /> _ <br />- -'~~ _ <br />M~ C mmi son expires: <br />y ~omm~ss on expires September 23, 1986 <br />12221 Brighton Rd. • Hepderson, Colo. 80640 <br />ADyD/RlESS <br />t7'~Otil~~,/~YJ~?~G ~~o . <br />ADDRESS <br />