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<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 RECLAh1ATI0N DIVISION <br />COLORADO DEPARTMENT OF NATURAL <br />RESOURCES <br />~ - ~~~1/ <br />Operator vision Director <br />ay <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT <br />STATE ( ',~, ) <br />/) _ ; ss. <br />CuUNTY OF <br />The foregoing instrument <br />of ~~ by <br />before me this ~_ day <br />as <br />M,~,,,,„„,„~, the Aerator. <br />---~ <br />NOTARY PUBLIC <br />~'/l <br />ADDIR~ESS ~ ,j <br />ADDRESS <br />My Commission expires: <br /> <br />