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Jun -17 -2013 02:llpm From- <br />6-651(*I— <br />T -878 P•002/005 F -254 <br />M 101 -7 -? 36 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned 't"V I A4 eC/o 1 ki [namc of authorized <br />person], in hi Vbcr capacity as L [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: r t <br />1. This affidavit is being executed and submitted on behalf of 4!r 1M! /,j 1 In(- [name <br />of business organization], a(n) rO f egal 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 />2. It is in they �' /re t of th LCompany to execute certain financial warranty documents associated with f lc <br />number 1 +; 4 5117 �' (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. Afftant 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 infonn the Division of Reclamation Misting 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 />Further, Affiant sayeth not. <br />61 rzaw* hdl Clml <br />Affiant's Name t <br />Signatu <br />STATE OF <br />COUNTY OF <br />The foregoing instrument was aclmowtedaed before me Uris4Z day of <br />Norary Public <br />My Commission Expires .y I) <br />