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.; _; <br />i <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 />MINED LAND RECLAMATION BOARD <br />MINED LAND RECLAMATION DIVISION <br />COLORADO DEPARTMENT OF NATURAL <br />RESOURCES <br />- Operator Division Director <br />By <br />~~ nn NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE C,g~~ha_~o~ ) <br />ss. <br />COUNTY OF ~,.¢o~t~ <br />of <br />The foregoin~g~~in/strument <br />~~~-~ /~dY by <br />My Commission expires: <br />ledged before me this ~ ~`` day <br />~1~~~ 2L_7 ~/off-as <br />N07ARY PUBLIC <br />~~~ C'~ ~ <br />ADD ESS <br />ADDRESS <br /> <br /> <br />