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RVIS 6RRHRM STUBBS Fax~3038937267 <br />'* <br />Jun 20 2007 439 <br />$ANK °>~WEST ,~® WIRE TRANSFER t~EQUEST <br />SEND WIRE IN (Check One): ~ U.S_ Rollers ^ Foreign Currency <br />AMOUNT: 622,000.00 CURRENCY TYPE (if Foreign): <br />(Branch Must Complete the Following for Foreign Currency Wire} <br /> <br />® DOMESTIC WIRfi <br />fORE1aN WIRE <br />eranrldDept Cost Cereer <br />00910 <br />est Code: <br />FX Rdt= u.s. S Equiraient Yttrue Data (rf eppan~tej tJuoted By (Iptrmtetor Trader NeRtej j <br />ORIGINATOR INFORMATION <br />OnginatodACmuntNama Checking ^Sevirtge MAMA ~ Genetaltedger(GLj <br />]3ASIN RESOURCES 1NC Account Numbef: 908002101 cL zaee55 (cccccl <br />Address (StreatlCirylStalelly; Country. d Omer man U.S.) <br />NORTH CASCADE AVE. COLORADO SPRINGS, COLORADO 80903 <br />AOOfIIONAL RiFORMRTION R[QtttRED (F BNp CUSTOMER (Branch Must Ol>tairWerify to as IndlCetetl) <br />TIN or Alren lD Numifar Type M 1O Presatr~d Sadal Numher of ID Dnqu+Mar State ar Country of Issue <br /> <br />PAYMENTlNSTRt1GTIONS <br />Ba1EPIClARY BANKlBENF_FICIARY tNFORMAi10N <br />Benearary Bank Name <br />ATIONAL BANK ABA Number <br />iD220fi&W <br />BCnCficiary Benk Address (StteeUCayla~tefL1P; Gauntry a other Wren V.S.) <br />320 NORTH CONVENT STRE$I' TRINIDAD CO 81082 <br />Berresaary Name <br />SOLITARIO Jli~l TAT[JN1 & AN(J TATUM • Banaficlary'Atxoimt Numher <br />81850078 <br />Benefi~ary Address {SveeHChylStele2(P; Country Ifo(her than V.S.) <br />Meg9pg¢IinformaaoNlnstrt+ctions to Baneflciary <br />INTERMtcDIARYBANKINFORINATtON fl ica6le <br />h+tertned7ary Hank Name TIN or Other Irlemifyine Hamner <br /> <br />A6A Numbw <br />mlerrrredfary Beek Atldress (Stteet(GblStatel7JP, Country tl dher erari US.) Beneficlery Bank Account Numher <br />'Beneficialys complete Intsmatlonai Bank Account NumMr (IRAN} is required for wires seM t0 Europe. An Incompletelmissing IBANmay result in a <br />Wire rejert Or return with additional charges assessed eythe receiving bank, tyirea sent tv NaxicO roquire an f8-digit CLARE as the heneficianfs accpunt number, <br />Nofrce: Intermediary and beneficiary banks may assess a fee uvdh the restill that the payeelbenefldary may receive an amount that is less than the fare <br />value of ttie wire <br />The undersigned certNies an behalf of or}ginatar that the above in(arrtratlon fa true and correct and further agrees to Ce bound by the terms and <br />conditions sef foM on the Wire TrarsferAgreemetx, receipt ofwhkfi ishaehy agotOwledged. <br />Send Date: <br />Originator's Signature: _ ~~ Todays Date: ~'~~ (tea? .~ <br />Signature V®rifled Q _~ 3~ l i ~' q c9O ( <br />BANK USE ONLY <br />PreparadlACtepted 8y: /Print Hamel Approved 9y (Print Name) Secanq Approver. (when appiicreble) <br />~I~R AR1=1~1~ANQ <br />Prepyred)Accepied 8y: Signature) Approvetl Dy: (Si4nature) Noffis: <br /> <br />t=ax to (888) 777-3376 •- No Later Than 2:00 P.IW. (PacFfis Tithe) <br />,.,,, M.,. ,.. _. , , a,. <br />