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Y <br /> signature of cer sib iiing Address <br /> ft'��lt'fiaJa( ► SEAL) . Ak era.W <br /> Title <br /> Surety <br /> STATE OF U ,ck <br /> ss. <br /> COUNTY OF 1A.Xt, <br /> The foregoing instrument was acknowledged before me this JG d5 day of <br /> by Surety <br /> atY�prney in fac or � .�;d � 1.1 •,F , <br /> in the, fore <br /> ^ ' <br /> ';• '',777777 w �y ;,�. -; f <br /> ;t NOTARY PUBLIC <br /> ,� ��cv�m^cam:_:.;. .-�� <br /> My � s n ap es• <br /> APPROVED: <br /> STATE OF COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> MINED LAND RECLAMATION BOARD <br /> By Date <br /> Director <br /> -------------------------------------------------------------------------------- <br />