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AFFIDAVIT OF RECEIPT <br />c- <br />State of Colorado <br />County of Weld <br />BEFORE ME, a repres tative of the Weld County Board of County Commissioners, on <br />this day of , 20_LL, I did receive a copy of a revised "Notice <br />of Filing Application for Oblorado Mined Land Reclamation Permit for Regular (112) <br />Construction Materials Extraction Operation Turnpike Mining Resource ". <br />RECEIVED <br />AUG 3 12012 <br />WELD COUNTY <br />COMMISSIONERS <br />Weld Count <br />�ZO>i Clerk to the Board, <br />Signature <br />Name (printed) <br />Title wed) <br />