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STATE OF COLORADO <br />DIVISION OF NtINERALS AND GEOLOGY <br />Depanmrnt of ,Natural Resources <br />1 313 Sherman St., Room 2) 3 <br />Denver, Colorado 8003 <br />Phone: (303)866_3367 <br />FA;(: (303'; 832-3106 <br />RECEIVED <br />SEP 0 8 2000 <br />Division of Minerals and Geology <br />ASSIGVNIENT OF CERTIFICATE OF DEPOSIT <br />?\C? <br />.MINERALS <br />a <br />GEOLOGY <br />3,11 (.),Pns <br />tmcr <br />Cr•; E watcher <br />ExeCuUve Direc:or <br />%s,chae! 9. Long <br />TO WHO IT MAY CONCERN: D'rec:cr <br />REFERENCE: Certificate of Deposit Number <br />By submission of this letter, to be attached to the above referenced Certificate of Deposit. I hereby relinquish all title <br />and claim to said certificate to the State of ColoradoAIined Land Reclamation Board, except for accrued interest <br />against the original monies, until such time as the Division of Minerals and Geology/Mined Land Reclamation Board <br />releases the certificate. This assisnment of Certificate of Deposit supersedes any signature cards. that may already be <br />on file at the bank. <br />BY: <br />Ja_ -?1?ti <br />Signature <br />ACKNOWLEDGMENT OF BANK <br />SIGNATURE: <br />BY: Steve T_ Collin <br />TITLE: VP/Branch Manager <br />Operator: _ HOLLENBECK, INC. <br />Depositor of Original Monies <br />NO ARY (0 pera Signature) <br />DATE: Sept. 5, 2000 <br />Return Ori;inal Form to: Division of Minerals and Geolo, <br />1313 Sherman St.. Rm 21 5 <br />Denver. CO 80203 <br />Note to Operator: <br />Commission Expires t t -, i- 2 noi <br />C? <br />t [vIAC LF-W." ?1 <br />CO`OAR <br />This assignment Cone will need to be executed in the presence of a notary. The original is held by the Division with a <br />Copy provided to the bank to allow only the Division of Minerals and Geology access to these funds.