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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 />/~C/ b) No rider is attached. <br />ACCEPTED AND AGREED: <br />MINED LAND RECLAtgATIUN BOARD <br />MINED LAND RECLAh1HTION DIVISIOfd <br />~' ~~ ~a- <br />Operator r <br />~/~~ <br />COLORADO DEPARTMENT OF NATURAL <br />RESOURCES <br />~` <br />Div sion Director <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE ( KJ~orn C1J ) <br />ss. <br />COUNTY OF .{~„ n ni ) <br />The foregoing instrument was acknowledged before me this 5'`S' day <br />of _, IGF~ by ~0. as <br />o the Aerator. <br />~lA 9 I~ ~.1~ ((1 r.. <br />NOTARY PUBLIC <br />,SI ~1C]~tP_ ~i~nuL <br />ADDRESS ^'_ <br />~rn,-,h~, ~n,l~nr~l(,U) ~()~~In <br />AdflRE55 <br />nMy''Cnolmmi,~s$s.,ion eApires: <br />