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Stephen M. Brown - M1990000.TIF <br />~3c3~832-StoG <br />Page 21 ai <br />M-la~~- 052 ~ -pl <br />RECEIVED ^ <br />JUN :0 42004. <br />AUTHORIZATION TO REPRESENT A PARTY Division of Minerals and Geology <br />(Please Tyue Or Print The Requested Information) <br />i SIGNATURES MUST BE IN BLUE INK <br />/. <br />1 ~ ,1.u v r/~ <br />(person's name) (tide) <br />of - (name of company, association, organization, etc.) am <br />authorized to delegate ~~ ~ ~I ~~~ S , a ~/U/ }'~./ <br />(person's name) (consultant, etc.) <br />to represen ~~~ ~i\t~~ ~ 5 (name of person, company, association, organization, <br />etc.) at the Pre-he g Conference and/or Heating before the Mined Land Keclamation Boazd in <br />this matter. <br />~ ~i~.~ <br />SIG A DATED TI-IIS_~_ DAY OF ___~~ ~ ~ <br />If corporation atlas (seal) <br />Au ed Signature (mus/ be signed in blue ink) <br />Title: <br />State of l D1-l OSYO-(~P> ) <br />(L ) ss <br />County of S V.YV\1M)--~/ ) ~ ~~ ,, ~~ ~~ ~~ ,,,, ~~,/~~ <br />The--fto-regoing instr[u~ment was acknowledged beforo me this ! 1~~ day of,yLw~"L ,(~~~/ 1. <br />bye 1(~Y\~p ~'~EA.V-V~\S' as ~\V1n`ip I ` of ~~~ /'~ <br />i4~(, 1 <br />Notary Public K .'r <br />My commission expires: ~ ~ ^ (3 ~ ,~, RU <br />~ . ~p'f Aq'ti~ <br />SIGNATURES MUST BE IN BLUE INK <br />A:~bIXAm\prrywve.wp <br />L <br /> <br />I~L~S~ ~- ~ ~~~.~ ~ ~,~ <br />