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-~- <br />/_/ a) Rider is attached. <br />/ X / b) No rider is attached. <br />ACCEPTED AND AGREED: <br />~, <br />BY ~~lil~L~ aih~i <br />Operator Title <br />sNo~JcA p coA~., ~A1 C, <br />STATE OF ~(~~"~ l~ ) ss <br />COUNTY OF (1 C~~~C~~ ) <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />COLORADO DEPARTMENT OF <br />NATURAL RESOURCES <br />/ ~~~~ C~ <br />Division Director <br />The foregoing instrument was acknowledged before me this ,~`~ day of ~J~n'~~'"') , 20 ~ by <br />s~ ~, <br />as _~ ~ C~ ~ i~P .~ ~ <br />of S N 0 wC /a- (~ ~ A-C_ ~~, ' ,operator. <br />My Commission expires: <br />~4~~ ~ <br />OTARY PU C <br />DONNA J. STEPHENS <br />Notary Public, State of Ohio <br />Niy Commission Expires 01-04-09 <br />AG Alpha No. NR LR TYB <br />AG File No. PNR/3928/JD <br />