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t� of <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />1r. Laurens W. Leffingwell, Jr. +A; <br />old Basin Mine, LLC t <br />60 Simpson Estates, LLC <<— � � 4 -L) <br />N. LaSalle Street Suite 1232 <br />hicago, Illinois 60662 <br />STATE OF COLORADO <br />F, 7' <br />JAN 28I{� <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Division of Recl,ani.nlion <br />Mining & ba(ety John W. Hickenlooper <br />Gold Basin Mine, Gold Basin Mine, LLC Annual Fee Invoice and Report Request <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and <br />Annual Reports (including a map). You must pay the Annual Fee and submit an Annual Report each year until <br />reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for <br />LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive. <br />The Annual Report and Fee requirement will be considered submitted when we have received the following <br />components: <br />Ui2ENS W. LEFFINGWELL, JR. The Northern Trust Company <br />N. LASALLE #1232 <br />50 S. LaSalle Street Jan 17, 2014 <br />IAGO, IL 60602 Chicago, IL 60603 0 <br />y TRANS NO: 7168 <br />m <br />0 <br />110 HUNDRED FIFTY -NINE DOLLARS AND NO CENTS <br />'AY TO THE <br />)RDER OF <br />MEMO <br />DIVISION OF RECLAMATION, <br />MINING AND SAFETY <br />uavc a <br />3567 x <br />IF TH <br />DATE <br />ACTI( <br />(lfli..- of <br />* ** *259.00 <br />s <br />s <br />DOLLARS <br />Y <br />N <br />LAURENS "W: "'LEFFINGWELL, JR. <br />AUTHORIZED SIGNATURE <br />it yVU <br />-,shire (303)866- <br />IVERSARY <br />ZCEMENT <br />4IT. <br />Governor <br />Mike King <br />Executive Director <br />Loretta E. Pineda <br />Director <br />0[ <br />Gold Basin Mine, Gold Basin Mine, LLC Annual Fee Invoice and Report Request <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and <br />Annual Reports (including a map). You must pay the Annual Fee and submit an Annual Report each year until <br />reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for <br />LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive. <br />The Annual Report and Fee requirement will be considered submitted when we have received the following <br />components: <br />Ui2ENS W. LEFFINGWELL, JR. The Northern Trust Company <br />N. LASALLE #1232 <br />50 S. LaSalle Street Jan 17, 2014 <br />IAGO, IL 60602 Chicago, IL 60603 0 <br />y TRANS NO: 7168 <br />m <br />0 <br />110 HUNDRED FIFTY -NINE DOLLARS AND NO CENTS <br />'AY TO THE <br />)RDER OF <br />MEMO <br />DIVISION OF RECLAMATION, <br />MINING AND SAFETY <br />uavc a <br />3567 x <br />IF TH <br />DATE <br />ACTI( <br />(lfli..- of <br />* ** *259.00 <br />s <br />s <br />DOLLARS <br />Y <br />N <br />LAURENS "W: "'LEFFINGWELL, JR. <br />AUTHORIZED SIGNATURE <br />it yVU <br />-,shire (303)866- <br />IVERSARY <br />ZCEMENT <br />4IT. <br />