2011-03-23_REVISION - M1983011 ‎(5)‎

• Permit No: M1983011
• IBM Index Class Name: REVISION
• Doc Date: 3/23/2011
• Doc Name: SO approval ‎(SO-02)‎
• From: DRMS
• To: Jelen & Son, Inc.
• Type & Sequence: SO2
• Email Name: DMC
• Media Type: D
• Archive: No

-6-
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF Colorado )
ss.
COUNTY OF Jefferson )
The foregoing instrument was acknowledged before me this 18 day of
April 1984 by Michael Jelen as
President o Jelen and Son Inc
NOTARY PUBLIC
Erika R Yang f
My Commission expires: 4415 Eldr?- a
Golden, CO`.,bQ3
.,
2/26/85
4x; ?k.
NOTARIZATION OF WARRANTOR'S ACKNOWLEDGEMENT
STATE OF c orad )
Denver ) ss.
COUNTY OF )
The foregoing instrument was acknowledged before me this 18 day of
Anri 1 1 A84 by Edna I) wso-n 11,4
a
Attnrnev-in-Fart of Continental Insurance. Company NOTARY PUBLIC go() ? '?".
My Commission expires:
i
APPROVED:
State of Colorado
Mined Land Reclamation Division
Mined Land Reclamation Board
Date:

By (?J
Division Director
(Rev. 10/83)
Doc. No. 6181