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<br /> STATE OF COLORADO' <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 RECEIVED C O L O RA D O <br />Denver, Colorado 80203 D 1 V f S 1 O N o r <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />APR' 0 2W6 MINERAL S <br />L <br /> G E O <br />OG Y <br /> RECLAMATION•MINING <br /> DIA31ort of Minerals and Geol SAFETY •S C I E N C E <br /> ogy <br /> Bill Owens <br /> Governor <br /> Russell George <br /> <br />ASSIGNMENT OF CERTIFICATE OF DEPOSIT Executive Director <br /> Ronald W. Cattany <br /> Division Director <br /> Natural Resource Trustee <br />TO WHOM IT MAY COI?ICERL"1: <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 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 ined Land Reclamation Board releases the <br />certificate. This assignment of Certificate of Deposit supersedes any si re ds that y ready be on a at the <br />bank. <br />Lowell Klinglesmith <br />ny esmith <br />Op or: <br />Depositor of Original Monies <br />Lowell Klinglesmith <br />Lenny Klingle mitt e- <br />gnature) <br />NOTARY (Of Operator 4-cl-C)7 <br />Cornmission Expires _ <br />r w „• <br />v r? o ?R i D 6(0,KCO <br />US 3d) -`0 o s <br />?ocARyj?s? <br />Fry F- ..0. <br />This assignment will need to be executed in the presence ofa notary. The original is held by the Division with a <br />copy provided to the bank, to allow only Division of Minerals and Geology access to these funds <br />Office of <br />Mined Land Reclamation <br />Office of <br />Active and Inactive Mines <br />Colorado <br />Geological Survey <br />DATE: > p <br />Note to Operator: