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Fi~CE~V~® <br />APR 13 2~ <br />COLORDO BOARD OF LAND COMMISSIONER~3a3donofMina~olaendoeolopy <br />620 Centennial Building <br />1313 Sherman Street, Suite 621 <br />Denver, CO 80203, (303) 866-3772 ~.~ <br />MINERAL ROYALTY REPORT ~ <br />e <br />Lease type LT GM GL GP QR UR CY PL GE GS DW OS OM (Circle one) <br />State Lease No. GP_ze'17 Original x Adjustment <br />COnnty_ FRF.MONT PIOdnctlOri Month RL Year December 2005 <br />Lessee FuaMnNT rn~7NTV Produced/Operated by FREMONT <br />Subsection Section(s) ~F Township 7qq Range 73W <br />Product Gravel <br />unit-of-Measure YD TN-LB OZ BL OT (Cirole-one)- ---- <br />Beginning Inventory Units Produced <br />Ending Inventory Units Sold <br />Selling Price Per Unit . 50 Gross Sales <br />Royalty Rate ROYALTY DUE$ <br />For Adjusted Reports, Previous Amount Paid <br />Advance Minimum Royalty Credit (if applicable) <br />ROYALTY PAID <br />If this is an adjustment, please <br />2,175 tons <br />$10£37.50 <br />$ ~los7 sn <br />Contact Name ry„rh;A Ma d;gan Telephone No. O 719 276-7320 <br />I certify that this is a true and correct statement of production sold, value received, and <br />royalty due the State of Colorado for the period indicated. <br />FREMONT COUNTYCOMMISSIONER <br />Authorized Signature & Title <br />Reporting Company Name Fremonr rnnnt~ Payor Number <br />Address 615 Macon Ave rm 202 _ <br />Canon .its, CO 81212 <br />Subscribed and sworn to before me by Larry Lasha _ <br />On this ~~, day of iannar3+ 20 O6 <br />My Commis o es 20 ~~ <br />Notary Public _ Q ~YQ i~ S~9M0 u~ ~- <br />Date Stamp Land Board Use Only <br />Verified Receipt <br />Posted Date <br />Notes: <br />svo~oz <br />2-I i~10 ~ <br />l~~ 7~ <br />1~ ~ <br />