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AFFIDAVIT OF INTEREST OWNERS <br />MINERALS AND/OR SUBSURFACE <br />• <br />Application No. <br />Subject Property PART OF SOUTHEAST QUARTER. SEC. 1. TOWNSHIP 10 NORTH. RANGE 67 WET <br />OF THE 6th P.M., WELD COUNTY, COLORADO. <br />STATE OF COLORADO ) <br />ss. <br />COUNTY OF WELD ) <br />THE UNDEPSiGNED, being first duly sworn, states that to the best of his <br />or her knowledge the attached list is a true and accurate list of the names <br />and addresses of all mineral owners and lessees of mineral owners on or under <br />the parcel of land which is the subject of the application as their names <br />appear upon the records in the Weld County Clerk and Recorder's Office, or <br />• from an ownership update from a title or ahstract company or an attorney. <br />**This Affidavit is not to be <br />construed as a guarantee of <br />title and the liability of <br />the Company hereunder is <br />limited to the fee paid for <br />this report. <br />~j <br />/! ~/ ~ ~ /l <br />--r-- <br />The foregoing instrument was subscribed and sworn to before me <br />this 22nd day of November <br />19&~ 8Y Kathrxn_.A-__1,Iniking <br />WITPlE55:•rirq hnd~'and official seal. <br />My `Coniq~ssl'dr~ expires: d~~~; ~~; /~~s <br />-~'_,,," <br />.'.. <br />u ` _... <br />. - Lf <br />~ _ <br />Notary Public 1221 8th Avenue <br />Greeley, CO 80631 <br />35 <br />