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>, The IVestr jbErITY <br /> Casualty andSrrety Com <br /> AND SURETY DEPART4WT <br /> 916 WALNUT STREET BUUMENG <br /> KANSAS CITY. MISSOURI 64106 <br /> RECEIVED <br /> TO: Mountain Agency Date Fehr„ary I ? 1gA2 <br /> Montrose, Colorado MAR 1 1 1Oni <br /> Branch Offic enver Branch _ <br /> MINED LAND RECLAMATI011 <br /> COLO DLF I, OF NATURAL a <br /> FEB <br /> Principal: perry A. Flanigan, an Individual <br /> Amount: $10,000.00 Obligee: USA <br /> Type of Bond: Miring Lease Bond - Lease ;VAT(05-1)-ML-60,S-C-SR-13 <br /> ( )annual <br /> 1. ( x) This is a continuous bond and the ( _) year term renewal premium of <br /> ( ) instalment <br /> $ inn nn will be charged on the anniversary date of April i0 19AI <br /> 2. (—) This bond expires by limitation on <br /> a. (—) New bond is enclosed <br /> b. (—) Continuation Certificate is enclosed <br /> (IF COVERAGE IS NOT TO BE CONTINUED, RETURN THE ABOVE FOR VOIDING) <br /> Your account will be charged with the renewal premium as follows: <br /> $ ( ) annual ( ) year term <br /> c. ( 1 Please send us a copy of the Renewal Bond or Continuation Certificate you <br /> issue. We encourage using the same bond number. When received, assuming <br /> the term and bond amount are the same as the bond being renewed, your <br /> account will be charged as follows: <br /> $ ( ) annual ( ) year term <br /> d. (_) Please send us your request for a new bond. <br /> e. (—) Please provide us with the necessary bond forms. <br /> 3. (—) Please forward the Principal's financial statement. <br /> (—) Dated <br /> (—) As of a current date <br /> 4. <br /> (� D a/1 L / a,t s <br /> I f-R f <br /> L/ <br />