REP13700

• Permit No: M1977346
• IBM Index Class Name: Report
• Doc Date: 10/16/2000
• Doc Name: ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

.:
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NOTARIZATION OF OPERATOR'S ACKNOWLIDGEMENT
STATE OF )
ss.
COUNTY OF )
The foregoing instrument waz acknowledged before me this day
of ~~ , by
az of _-

NOTARY PUBL[C
My Commission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Minerals and Geology
By:
Division Director
Date:
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