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~ • • <br />reclamation only if the ?oard ties determined: <br />i. !hat reclamation required Dy law to <br />.nave oeen p2rformetl upon such lands has not been performer. <br />antl <br />ii. that financial warranty forfeiture <br />GrOCe2din~s tl25Crioetl in th2 act Or similar prOVisiOnS Df <br />suDS2qu2nt laws if dny• `lave Jeen initiated. <br />5. Tne adritional stipulation; set forth in the <br />attached ritler, if any, are incorporated herein by reference. <br />/____/ a) Rider is attached. <br />/____/ D) No ritler is attacned. <br />ACCEPTED avJ aGREED <br />T~~ ~!lr! ~~~~~e~ <br />Gperator <br />~~ <br />MINED LANC RECL4MATIGV 3CARD <br />MINcD LA"JC Rt.LAMaTIC`J DIVISION <br />COLCRa70 DEPARTMENT CF <br />NATURAL R~SCURCES <br />/.!~ ~r~~ <br />Division Director <br />~/ Notarization Of Operator's Acknowledgment <br />iTATE_ G4~0/c~G'~O ______) <br />------- ) ss. <br />CD~NTYr,F~~l/P/_______) <br />Tne fore•3o~ nstrumanc was acRnowletlg d Defore Te <br />cnis ~O_ ray of~~'____, 199abys7 Eas~~of~~•tha operator. <br />-/ - <br />I _4. <br />1 _ <br />../ ~~ _ <br />~~ _ l ~1 <br />_` .--X r~ <br />