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601K I 7A,L- <br />C <br />M I a e3- Ph 2 <br />n Z10u -UOq <br />M 20. <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned .h OD& [name of authorized <br />person], in his/her capacity as "Prn 9 ;d Cam_ [title of authorized person] ("Affiant"), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf of name <br />of business organization], a(n) Cp r C.iy h [legal orm of business organization, <br />e.g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />Further, Affiant sayeth not. <br />Signature <br />STATE OF <br />COUNTY OF <br />. It isinthjj <br />number AN <br />Reclamation oar . ati'cl <br />Warranty Documents "). <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />ea -ti; <br />Affiant's Name <br />14 rgi d , <br />jl dams <br />The foregoing instrwnent was acknowledged before me this °? day of <br />by bitlirVe.1 U • Hun li- as 'Re 0.1.1- of' <br />Affidavit of Authority Rev 05 2012.docx <br />Company to execute certain financial warranty documents associated with file <br />(DRMS file number), which are required by the Colorado Mined Land <br />vision of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <br />ss.: <br />JENNIFER J CAIRES <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20024029373 <br />MY COMMISSION EXPIRES 09!2012014 <br />My Commission Expires <br />gom <br />t'18- !249 <br />N1 ; D 2 - `909 <br />M c ?-t) - erg <br />Notary Public <br />a9 %0 /ip? <br />j RF 2 q 20t— <br />J 2. x+•1.5 <br />Rev. 05/12 <br />