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COHSTW& <br />7040 W. Hwy.160 Alamosa, Co. 81101 (719} 5838671 <br />EXHIBIT R <br />PROOF OF DELIVERY TO COUNTY CLERK AND RECORDER <br />Received by Title 6eel? Date Z Ld . le <br />AFFIDAVIT <br />BE IT ACKNOWLEDGED, that Tiffany Hawkins, of Alamosa, Colorado, the undersigned <br />deponent, being of legal age, does hereby depose and say under oath as follows, I personally <br />delivered a copy of the amended Regular Operation (112) Reclamation Permit Application form <br />complete with all exhibits to the Rio Grande County Clerk located at 965 6th Street, Annex Building <br />Rio Grande County Courthouse, Del Norte CO 81132 and requested that they retain it on file. <br />And I affirm that the foregoing is true except as to the statements made upon information and <br />belief, and as to those I believe to be true. <br />a.0 t a <br />Witness my hand under the penalties of perjury this day ofd. <br />4'a JA i1i -,- A2 2AJ <br />gn re