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<br />Form 3504-3
<br />(May 2014) UNITED STATES
<br />DEPARTMENT OF THE INTERIOR
<br />BUREAU OF LAND MANAGEMENT
<br />0 BOND" UNDER LEASE FOR
<br />MINING DEPOSITS
<br />
<br />FORM APPROVED
<br />OMB NO. 1004-0121
<br />Expires: March 31, 2046
<br />Serial Number
<br />COC76319
<br />Bond Number
<br />1098852
<br />v r^�
<br />KNOW ALL MEN BY THESE PRESENTS, That Oxbow Mining Oak Mesa LLC
<br />3
<br />of 1601 Forum Place, Suite 1400, West Palm Beach, FL 33401 OF$ o principal,
<br />and Lexon Insurance Company
<br />,ixw
<br />of 10002 Shelbyville Road, Suite 100, Louisville, KY 40223 � `J%`�, --,(7
<br />, as surety,
<br />are held and firmly bound unto the United States in the sum of Eighteen Thousand and 00/100-----------------
<br />----------------
<br />-------------------------------------------------------------------------------
<br />------------------------------------------------------------------------------ dollars
<br />($ 18,000.00 ), lawful money of the United States, for the payment of which, well and truly to be made, we bind
<br />ourselves, and each of us, and each of our heirs, executors, administrators, and successors, jointly and severally,
<br />firmly by these presents
<br />The conditions of this obligation are such, that whereas the said principal entered into a lease of the lands described
<br />therein and upon conditions therein expressed, which lease bears the above serial number.
<br />Now, THEREFORE, if the said principal, his heirs, executors, administrators, or successors, will faithfully carry
<br />out the obligations and observe the requirements of said lease, and will duly keep, perform, and abide by each and
<br />every term and provision of said lease as therein stipulated and agreed, then this obligation will be null and void;
<br />otherwise to remain in full force and effect.
<br />lU
<br />Signed on this 25th day of August , 2014 , in the presence of
<br />7 Mining Oak LLC
<br />SAC:F--ah
<br />(Printed Name
<br />Benjamin L. Klein,Treasurei
<br />(Printed Name of Signer)
<br />1601 Forum Place, Ste 1400, W. Palm Beach F1, 1601 Forum Place, Ste 1400,.W. Palm Beach. FL 334
<br />(Address of Witness) 33401 (Address of Principal)
<br />Lexon Insurance Co any
<br />Jackie C. Koestel, Attorney -in -Fad
<br />Rachel Parikh
<br />(Signature of Witness) (Printed Name of Witness) (Signature of Surety) (Printed Name of Surer)
<br />2307 River Road Suite 200 Louisville, KY 40206 10002 Shelbyville Road Suite 100, Louisville KY 43223
<br />(Address of Witness) (Address of Surety)
<br />(Signature of Witness)
<br />(Printed Name of Witness)
<br />(Signature of Surety) (Printed Name of Signer)
<br />(Address of Witness) (Address of Surety)
<br />Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency of the
<br />T TnitP.d Statea anv false_ fictitious or fraudulent statements or representations as to any matter within its jurisdiction
<br />*This form of bond may be used in connection with coal, phosphate, and sodium leases, Act of February 25, 1920, as amended (30 U S.C. 181 et seq.); potassium
<br />leases, Act of February 7, 1927, as amended (30 U.S.0 281 et seq.); sulphur leases, Act of April 17, 1926, as amended (30 U.S.C. 271 et seq.), all such leases
<br />involving acquired lands, Act of August 7, 1947 (30 U.S C. 351), and asphalt leases, Act of June 28, 1944 (58 Stat. 463, 483-485), by inserting the particular mineral
<br />applicable in the space provided therefore. If this bond is executed by a corporation, it must bear the corporate seal.
<br />(Continued on page 2)
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