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III IIIIIIIIIIIII III -~ <br />989 <br />A[JTHORIZATION TO REPRESENT A PARTY <br />! Tsae Or flint The Rettuesbed Intwmallt~) <br />stcJVnnrJaJJJS AJIUSf as JrN sole >aqc <br />I ~h w Davis d w vc/CvC <br />, <br />(person's name) (title) <br />of l 2 yEP~ ~ 2 1P Ft LT fo.,. C name of company, association, organization, etc.) atn <br />authorized to delegate ]~ t A.,ie Sm r ~ L, . a r 7~~-~p~,~~ ~.~ <br />(perSOn'S naQle) COriSUlt8i11, eiC.) <br />to represent Tn{,,.,~ ll~1V ~s (name of person, couttpany, association, organizatjpq, <br />etc.) at the Pre-bearing Conference and/or Hearing before the Mined Land Reclartaation Bt>atr j~ <br />this matter. <br />SIGNED AND DATED THIS~_ DAY OF ~~~, / . ~ 000 . <br />m. - ~~ lfcorporationattest(seal) <br />dtaizsd SiQaawre (inert be signed in blae ink) <br />Tide: <br />State of f..~r~ ~n a !~ ~ C~ ) <br />ss <br />County of LC) ~ f~ ) <br />The foregoing instrument waz acknowledged before me this ~y Ada of <br />y ~,~ , / . ~2Q?12- <br />by _ <br />"- - <br />_~ <br />_. . <br />as of <br />~~L'1 e A ~l4in~ ~~~1@~h~ <br />Notary Public <br />3Ny commission expires: `? c2 0~ <br />SIGNATURES MUST' SE IN BLUE INK <br />A:VM1~dalnttye'*4.uy <br />