ENFORCE20995

• Permit No: C1981013
• IBM Index Class Name: Enforcement
• Doc Date: 6/21/2007
• Doc Name: Information to Abate NOV
• From: Davis Graham & Stubbs LLP
• To: DRMS
• Violation No.: CV2007002
• Media Type: D
• Archive: No

ANKTHEWEST .~1.® WARE TRANSFER REQUEST
SEND WIRE IN (Check One): ®U.S. Dollars ^ Foreign Currency
AMOUNT: 622,000.00 CURRENCY TYPE (if Foreign):
(Branch Must Complete the Following for Foreign Currency Wire)
® DOMESTIC WIRE
^ FOREIGR WIRE
Branch/Dept. Cost Center #:
00910
Test Cotle:
FX Rate U.B, b Equivalent Value Dale (I/ applcable) Duoted By (Intranet or Trader Name)
PAYMENTlNSTRUCTIONS
BENEFICWRY BANK/BENEFICIARYlNFORMATION
Beneficiary Bank Name
INTERNATIONAL BANK ABA Number
102106844
Beneficiary Bank Address (Street/City/StaterLlP; Country if other than U5.)
320 NORTH CONVENT STREET TRINIDAD CO 81082
Beneficiary Name -
SOLITARIO JIM TATUM & ANN TATUM ' Benefciary Account Number
81850078
Beneficiary Address (StreeVCily/S[ate21P; Country If Omer Iltan U.S.)
Message/informatloNinstructions to Beneficiary TIN or Other Itlenlifying Number
INTERMEDIARY BANK INFORMATION if A licable
Intermediary Bank Name ABA Number
Intermediary Bank Atldress (StreaUCiry/StatelZlP; Country a other than U.S.) Beneficiary Bank Arxount Number
'Beneficiary's complete International Bank Account Number (IBAN) is required for wires sent to Eurape. An Incompletelmissing IRAN may result in a
wire reject or return with additional charges assessed by the receiving hank. Wires sent to Maxlco require an 16•dlglt CL4BE as the henelictary's account number.
Notice: Intermediary and beneficiary banks may assess a fee with the result that the payeelbeneficiary may receive an amount that is less than the face
value of the wire.
The undersigned certifies on behalf of originator that the above Information is true and correct and further agrees to be bound by the terms and
conditions set forth on the Wire Transfer Agreement, receipt of which is hereby acknowledged.
/' , }~ / Send Date:
Originator's Signature: ~ar.~c,g~. l~ ~l~ Today's Date: l0i c 1~ )aGY~ `~
,Signature Verified C c~~ L ~~-u 1 in- 3~ l l E x G l 1 q Ic~O (
BANK USE ONLY
Prepared/Accepted By: (Print Name) Appro~red By: (Print Name) Second Approver: (when applicable)
HEATHER ARELLANO
Prep retllACCeptetl ay: (Signature) Approved By: (Signature) Notes:
' IL€,. ~tFC~Qsi~~
Fax to [phone] -- No Later Than 2:00 P.M. (Pack Time)
U3U-U3A26 (Rev. ll!U6)
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TIN or Allen ID Number Type of ID Presented Sedal Number o/ ID Document Slete or Country of Issue