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12/14/2006 16:17 fAX 3039862771 EBERLS CLAIM <br />IlG~.-L4~LCKJO L~•V~ 1'pJVIVIMl1Y VJC~1 11YJVICIUYVC <br />r~ooz/oos <br />ern oew otoo r. nc <br />PIONEER GENERAL INSUNiANGE CO. <br />8780 H. HAAAPDE~1 AVE. -DENVER, CO(.pRADO 80224 ~~ <br />EXECUTION REPORT L-~~, G~ <br />BOND NIlMBY~t Ei~t'L-IiYE DAZE E7CPIRATION DATE 60ND NT PREMNM CNARdE <br />P14 Q68679 (16129/04 06129!05 $8,000.00 5100.00 <br />NAAI~ANDAO[UtESStiF g <br />~ )>?iNEW9U$ItvES3 ^RENEWAL <br />~~~~ K~.16 <br />W DESCRIPTION'OFBOND <br />i0ng Mountain Grd'vol, LLC l2eclamatt n Band <br />7278 West Mansfield Ave. <br />lalcewood ~ CA 80235 i <br />l <br />NAME AND ADDRe9S CTF <br />OBLI02E <br /> r, <br />State Of COIQIddO i~ YOUQ A6ENGY NEEDS ANY SUBPLIES PLCASE <br /> <br />Di <br />i <br />M SPEC~`r t16RE: <br />~1]N t1 1 <br />% <br />vis <br />on of <br />inelats and Geology ~~~ <br />i <br />i <br />aF THI4 aoN018 NaT aoYatEO sY YGgRNONMAL nunwarr INONTAre HFAE eY NnWM Mrt}WRrtYwaz aFNN1Eq avD wnEN: <br />[718ne M. Bailey <br />A7T/~N API'UL4TION, COPYCIF THE 90NOIW D AM/ OTNEa IHFOn11WT1DN PFJTgNENT`TOTHIS UNgERT4Wfk3 TO COMPANY COPYDf TN <br />FEPDRTOF EI~C/naF/gNO iONwANO 70711E CONPgNY, <br />PraWous owner -Frank HeW6s - Bond #30591 ~ ~ Cu ,~ ~, }. _ 1 _ _ ., <br />1 ~ `~ ar~C <br />AaENCtr NAll~t ANDADmxtB$8: <br />Mountain West Insurenae & Financial Scvs., LLC <br />P. O. Box 127 <br />, <br />Craig CO 81626 ; <br />Ex>=c1rrEU 6Y: DATES <br />Diane M. Bailey 0S/28/Q4 <br />28'd Lt=9l C80Z 8 t"r 9819851£BE:xej SNI 1Y83N39 N33NOte <br />