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At It)I, FREMONT NATIO BANK
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<br /> ^ LIIS CERTIFIES THAT THERE HAS pG ,FW w�sa TED-IN ri IS"N N DeD Der 27, 1971 THE AMOUNT OF
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<br /> NATI.9'0i. I �.n ,I:..•,• ':::"I Itnl,l �,,,I,I Illll.l I,I,,,l I. • .,'1 2,500.00
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<br /> PAYABLE TO Mined Land Reclamation Board, State of CO
<br /> .I . , NUMBER ADDRESS 723 Centennial Bldg. , 1313 Sherman St. 1 ER 84_0602953
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<br /> Denver, CO. d02O3 rs•
<br /> HEREINAFTER REFERRED TO AS OWNER OR IF MORE THAN ONE TO EITHER OR ANY OF SAID OWNERS ON Dec. 27,1981 _ON AT ANY SUBSEQUENT
<br /> MATURITY AS HEREINAFTER DEFINED, UPON ENDORSEMENT AND SURRENDER OF THIS CERTIFICATE IT is MUTUALLY AGREED THA1 THIS CERTIFICATE SHALL BE
<br /> AUTOMATICALLY RENEWED FOR ADDITIONAL PERIODS OF TIME EQUAL TO THE ORIGINAL TERM HEREOF. UNLESS THE OWNER HEREOF SHALL PRESENT THIS CERTIr(-
<br /> CATS 11 PAYMENT AT A" MATURITY DATE. OR WITHIN TEN DAYS THEREAFTER. OR UNLESS THE BANK SMALL MAIL WRITTEN NOTICE TO THE OWNER. AT THE ABOVE
<br /> AOORESS AT LEAST TEN DAYS PRIOR TO ANY MATURITY,OF THE BANK 5 INTENTION TO REDEEM�yTHIS CERTIFICATE
<br /> INTEREST SHALL BE PAYABLE AT THE RATE OF_"_I PER ANNUM PAYABLE __R�ZAal Lerll_. IF RENEWED. INTEREST HEREON
<br /> _I SHALL BE PAYABLE DURING THE PERIOD OF EACH SUCH RENEWAL AT THE RATE BEING PAID BY THE BANK ON INVESTMENT TIME I.ERTIFICATES AS OF THE DATE
<br /> OF ANY SUCH RENEWAL Q i�
<br /> INTEREST TO BE PAID B
<br /> Y ❑ Dpvosrt To sAvinps AccourvT � t
<br /> ❑ DEPOSIT TO CHECKING TAIL REM :�( AUTHO I�EO 5IONATNRE
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<br /> DEAR DEPOSITOR: DATE__ Ig_
<br /> Bank Regulatory Agencies require us to furnish you with the following Information regarding your Time Deposit No. ,_ __
<br /> 1, Af a dep OSllor,you haW,com Iacied 10 keep your [voids on deposit for the period of time Staled In the Time DePOSN Contract identified by number above. If you
<br /> request withdrawal and if the bank consents to withdrawal before that period QI time has elapsed Ihefore maturity), YOU,as a depoLlor, shall IQse three months
<br /> meteor your time dPpovt and the rate of I"Nesi paid wdl he reduced to the maximum permissible passbook rate for the period of ume your deposit Is held.
<br /> ] The complete Federal regulation pertaining to•'penalty for early withdrawal" S stated below:
<br /> Where a time deposit, or any portion thereof, is paid before maturity, a member bank may pay interest on the amount withdrawn at a
<br /> rate not to exceed that currently allowed for a savings deposit: Provided,That the depositor shall forfeit three months of interest payable
<br /> at such rate. If, however, the amount withdrawn has remained on deposit for three months or less,all interest shill be forfeited. Where
<br /> necessary to comply with the requirements of this paragraph, any interest already paid to or for the account of the depositor shall be
<br /> deducted from the amount requested to be withdrawn. Any amendment of a time deposit contract that results in an increase in the rate
<br /> of interest paid or in a change in the maturity of the deposit constitutes a payment of the time deposit before maturity.
<br /> The undersigned acknowledges a copy hereof On the Pile above
<br /> THE FREMONT NATIONAL BANK DEPOSITOR
<br /> CANON CITY, COLORADO 81212
<br /> DEPOSITOR
<br /> DEPOSITOR
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