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<br /> <br />reclamation only if the Board has determined: <br />i. that reclamation required by law to <br />have peen performed upon such lands has not been performed, <br />and <br />ii. that financial warranty forfeiture <br />proceedings descritred in the act or similar provisions of <br />subsequent laNSr if any, have been initiated. <br />5. The adCitional stipulations set forth in the <br />attached rider, if any, are incorporated herein Dy reference. <br />/____/ a) Rider is attached. <br />/____/ b) No rider is attached. <br />ACCEPTED AND AGREED: <br />Operator <br />B y ~~- --~---- <br />MINED LAND RECL4MATION BOaRD <br />MINED LAND 0.ECLAMATIOV DIVISION <br />COLORADO CEPARTMENT OF <br />NATURAL RESOURCES <br />Division Director <br />~No~tar~ization of Operator's Acknowledgment <br />COUNTY OF_?l~vG ~~-~-~ ~ ss. <br />Tn~ foregoing ns rument was acknowledged before me <br />tnis.7~ day of ___ ___ __, 199 by ___ as _ of _, the operator. <br />G ~ -----~ -- -- ----- <br />_ _ NOTARY PU6LIC /lam n~»~* ~~~''""-~~ ~''~~~ <br />_4_ <br />