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<br />STATE COMPENSATION INSURANCE FUND <br />2167P1 950 BROADIUAY <br />DENVER, COLORADO 80203 <br />PHONE (303) 866-2656 <br />6/03/83 <br />BEAR COAL CU E <br />PACIFIC BASIN COAL E <br />CARBON DBA <br />TERROR CREEK CU <br />P O SUX i17 <br />PAONIA CU 81428 <br />AREA OFFICES <br />PUEBLO - GRAND JUNCTION - GREE LEV <br />POLICY NUMBER 148696 2 <br />THE ABOVE wURKMENS COMPENSATION POLICY NUMBER AND COVERAGE HAS BEEN <br />ISSUED EFFECTIVE APRIL 2G, 1983. <br />SHOULD YUU HAVE ANY IN2UIRIES, PLEASE REFER 7U 7HE ABOVE POLICY NUA4BER. <br />7HE PREMIUM STATEMENT AND POLICY IuILL BE ISSUED AS SUUN AS POSSIBLE. <br />(uE APPRECIATE YOUR BUSINESS AND COOPERATION IN HELPING US TU PROVIDE <br />YUU UIITH 7HE BEST OF SERVICE. <br />YOURS VERY TRULY, <br />STATE COMPENSATION INSURANCE FUND <br />MRS LEOLA LUCERU <br />A3 <br />REV.7-77 <br />UNDERWRITER <br />i'~C h' 766 <br />