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<br />' K <br /> <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1.313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (30:3) 832-8106 <br />REGEIUED <br />OCT 10 1997 <br />Division of My nera)s & UeoloaY <br />ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br />TO WHO IT MAY CONCERN: <br />ppw.", Wa <br />i4it <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Roy Romer <br />Governor <br />James S. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />REFERENCE: Certificate of Deposit Number -70-7.0- <br />By submission of this letter, to be attached to the above referenced Certificate of Deposit, I hereby relinquish all <br />title and claim to said certificate to the State of Colorado/Mined Land Reclamation Board, except for accrued <br />interest against the original monies, until such time as the Division of Minerals and Geology/Mined Land <br />Reclamation Board releases the certificate. This assignment of Certificate of Deposit supersedes any signature <br />cards that may already be on file at the bank. <br />BY: -T0 f" <br />Ston a Co oration <br />Operator: ?0- <br />Depositor of Origi ones <br />ACKNOWLEDGMENT OF BANK <br />SIGNATURE: ?? <br />6 <br />BY: 1_01.q- k Q..- mo -Sert') <br />TITLE: 'CSO`C?Q? <br />DATE: O 1 <br />Return Form to: Division of Minerals and Geology <br />1313 Sherman St., Rm 215 <br />Denver, CO 80203 <br />Note to Operator: <br />NOTARY (O Operator Signature) <br />I <br />Commission Expires '' 1 <br />This assignment form will need to be executed in the presence of a notary. The original is held by the Division with <br />a copy provided to the bank to allow only the Division of Minerals and Geology access to these funds. <br />STATE OF COLORADO <br />C:IOFFICEI WPW IN\WPDOCS\ASSIGNFM. W PD