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TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />ASSIGNMENT OF CERTIFICATE OF DEPOSIT <br />TO WHOM IT MAY CONCERN: <br />REFERENCE: Certificate of Deposit Number 1600 10 TV 7 <br />A--? <br />D I V I S I ON OF <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />B i l l Owens <br />Governor <br />Greg E. Walcher <br />Executive Director <br />Michael B. Long <br />Division Director <br />By submission of this letter, to be attached to the above referenced Certificate of Deposit, I hereby relinquish all title and <br />claim to said certificate to the State of Colorado/Mined Land Reclamation Board, except for accrued interest against the <br />original monies, until such time as the Division of Minerals and Geology/Mined Land Reclamation Board releases the <br />certificate. This assignment of Certificate of Deposit supersedes any signature cards that may already be on file at the bank <br /> <br />ACKNOWLEDGMENT OF BANK: <br />I" L,aGY P. <br />WASSOM Q <br /> <br />My Commission expires <br />January 25, 2004 <br />SIGNA <br />(( ( (' ` <br />BY. gfY??? d.??e?l ?Vs...j 1 O?c? <br />TITLE: ASSt ST4/?T' _?j c? ?r?Scaen"? <br />DATE: S/D R <br />Return Original Form to: Division of Minerals and Geology <br />1313 Sherman St., Rm 215 <br />Denver, CO 80203 <br />Note to Operator: <br />ignature <br />Depositor of Original Monies <br />- ) 6 - <br />NOTAR Operator Signature) <br />Commission Expires I'1 • CA S 014/?' <br />RECEIVE <br />AM1 8 2002 <br />.11 <br />Division of Minerals and Geology <br />This assignment form will need to be executed in the presence of a notary. The original is held by the Division with a copy <br />provided to the bank to allow only the Division of Minerals and Geology access to these funds. <br />M:\min\share\bondforms\cdassignfornbnd.doc <br />REVISED 02/14/02