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ertificate of Deposit Receipt 4 4 0 5 5 2 <br />BANK=ONE. <br />Member FDIC <br />ACCOUNT TITLE/ADDRESS <br />Richardson Contracting Inc <br />State of Colorado/NLRB <br />PDPA #010004005101 <br />" 29680 WCR 57 <br />P.O. Box 866 <br />Greeley, CO 80631 <br />MATURITY DATE 11-7-96 <br />TERM 12 Months <br />INTEREST RATE 4, g$% <br />ACCOUNT PURPOSE <br />' Business <br />TYPE OF OWNERSHIP <br />Corporation <br />DEPOSIT AMOUNT <br />$14,000.00 <br />ANNUAL PERCENTAGE YIELD 5.00% <br />INTEREST COMPOUNDING Daily 365/366 <br />PAYMENT FREQUENCY Maturity <br />INTEREST DISPOSITION Mail Check <br />TYPE OF DEPOSIT Automatically Renewable <br />TAXPAYER ID# $4-1300221 <br />71ME DEPOSITS ARE NONNEGOTIABLE AND NONTRANSFERABLE <br />This nonnegotiable receipt is provided solely for the convenience of the customer. The deposit referred to hereon is set forth in the records of the Bank and is subject to the rules <br />and regulations of the Bank applicable to [his account. All deposit items accepted are subject to rules and regulations pertaining to deposit transactions. <br />ISSUED BY <br />Bank One, Colorado, N.A. <br />G',reeley, Branch 001 <br />Amy Sederstrom <br />970 395 7325 <br />- Rel sed nd made payable only to: <br />R and n/fCo/~nt-r/1acting, c. <br />N~;~aC.O~ <br />Ronald W. Cattany, Director <br />Division of Minerals and Geology <br />Office of Mined Land Reclamation <br />Acknowledgement - By signing~Ig~~arJVpwyLxy~fgp~®( the Terms of Deposit that appear on the reverse side of this receipt, and agree to be bound by the agreements and <br />terms contained therein. I also agree that th_e Bank may s- are information about me or my account to other bank and non-bank affiliates of the Bank as well as to other third parties, <br />including credit and check reporting agencies. I further acknowledge receiving notice of any early withdrawal penalises that apply to this deposit. <br />Certification - I certify under penalty of perjury that (t) the Taxpayer Identification Number given above is correct and (2) 1 am not subject tD backup withholding because: (a) I am <br />exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest <br />or dividends. or (c) the IRS has notified me that 1 am no longer subject to backup withholding. (Vou must cross out item 2 above if you have been notified by the IRS that you are <br />currently subject to backup whhholding because of underreporting interest or dividends on your tax return.) <br />~ DATE TAXPAYER ID # <br />,) / ~' - <br />NER'S IG T E <br />X <br />OWNER'S SIGNATURE <br />3l+.OWNER'S SIGNATURE <br />4) X OWNER'S SIGNATURE <br />DATE OF BIRTH <br />IDENTIFICATION <br />Reorder: CDR A616/94) <br />H1932f <br />ZOOOT92IZ601 o6C.EPS <br />ACCOUNT# 088-005-4405524 <br />Assigned to ISSUE DATE 11-7-95 <br />BANKBANK RETRESEN TIVE DATE <br />PASSWORD <br />° 1993 BANG ONE CORFORATKJN <br />