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Sj1z fc, <br />RECEIVED <br />MAY 2 01 2013 fl 20c3 -0Otl <br />Division of Reclamation, <br />Mining & Safety <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the u ersigned f �' �✓ /(6 / [name of authorized <br />person], in his/her capacity as i .s:Cllell [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: 1 <br />1. This affidavit is being executed and submitted on behalf of 7Z�,5 PS [name <br />of business organization], a(n) Cc r,- `a -/io 1 [legal form of business organization, <br />e.g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />numbeM2C/ 3 —OO6 (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <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 Warr anty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />e", /I 1 y, <br />Affiant's Name <br />Signature <br />STATE OF C01oQ)6o ) <br />ss <br />COUNTY OF Q ) <br />b y The foregoing rostrum nt s ac�np�yle�dgeLd before e me th � day <br />K` of <br />Notary Public <br />My Commission Expires <br />JACQUELINE SKOF <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20124071804 <br />W COMMISSION EXPIRES NOVEMBER 8, 2016 <br />