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Document name: GIGI 3/866-3567 X 8149 <br />FUNCTION: <br />DOCID: CR <br />PKA 14000000004 <br />07/26/13 12:21:56 PM <br />STATUS: PEND3 <br />BATID: <br />ORG: <br />001-003 OF 010 <br />CASH RECEIPT DETAIL <br />LINE <br />REF <br />REF <br />REF <br />SUB <br />APPR <br />SUB REV SUB <br />CD AGY <br />NUMBER <br />LN FND AGY <br />ORG ORG <br />CODE PGM <br />---- <br />FUNC OBJ OBJ SRC REV <br />---- ---- --- -------- <br />-- -------------- <br />BS <br />RPTG JOB/ <br />-- --- --- <br />-------- <br />---- <br />I <br />ACCT GBL <br />CAT PROJECT CUST/VEND CODE <br />UNITS <br />AMOUNT D <br />---- ---- <br />------------ <br />--------------- <br />--FEE---- <br />-------- <br />DESCRIPTION <br />CHK NO <br />CODE <br />------ <br />------------------------------ <br />01- <br />900 PKA <br />---------- <br />2730 <br />CAPR <br />6,000.00 <br />CB P13-10 <br />OURAY 79 <br />MINING <br />229699 <br />02- <br />900 PKA <br />2730 <br />CAPR <br />8,038.41 <br />CB P13-10 <br />OURAY 79 <br />MINING <br />099 <br />03- <br />900 PKA <br />2730 <br />CAPR <br />1,000.00 <br />CB P13-04 <br />SAN JUAN <br />MINERALS <br />1011 <br />(ell0 229699 <br />REMITTER: KEYSTONE PORTFOLIO MANAGEMENT <br />Dale 6/13/13 <br />PAY TO THE <br />ORDER OF MINED LAND RECLAMATION BOARD <br />EXACTLY **61000 AND 00/100 DOLLARS $ $6,000.00 <br />4EMO: OURAY79 MINING LOC <br />CASHIERS CHECK <br />IF THIS CHECK IS LOST OR STOLEN, YOU MUST WAIT 80 DAYS FROM <br />ISSUANCE AND THEN PROVIDE AND AFFIDAVIT TO THE BANK IN <br />ORDER TO OBTAIN A SUBSTITUTE CHECK. YOU MAY NOT PLACE A <br />STOP PAYMENT ORDER ON THE CHECK. Lff <br />TWO SIGNATURES REQUIRED OVER $25,000.0 <br />,�,U�, <br />I: <br />AUTHORIZED SIGNATURE <br />Page 1 of 1 <br />