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COLORDO BOARD OF LAND COMMISSIONERS <br />620 Centennial Building <br />1313 Sherman Street, Suite 621 <br />Denver, CO 80203, (303) 866-3772 <br />MINERAL ROYALTY REPORT <br />Lease Type LT GM GL GP QR UR CY PL GE GS DW OS OM (CIRCLE ONE) <br />State Lease No. _GP3395 Original X Adjustment <br />County_Conejoes Production Month & Year MAY 2005 <br />Lessee_Alamosa County Produced/Operated by <br />Subsection_SEOTR_Section(s)_4 Township_36 Range_8 <br />Product <br />Pit Run <br />_ <br />_ <br />Unit of Measure YD TN LB OZ BL QT <br />(CIRCLE ONE) <br />Beginning Inventory Units Produced 525 <br />Ending Inventory Units Sold <br />Selling Price per Unit Gross Sales <br />Royalty Rate 0.30 ROYALTY DUE $157.50 <br />For Adjusted Reports, Previous Amount Paid $ <br />Advance Minimum Royalty Credit (if applicable) $ <br />ROYALTY PAID$ $157.50 <br />If this is an adjustment, please explain <br />Contact Name_Phil West Telephone No. (719) _589-6262. <br />I certify that this is a true and correct statement of production sold, value received, and royalty <br />due the State of Colorado for the period indicated. <br />Authorized Signature & Title <br />Reporting Company Name_Alamosa County Road & Bridge Dept._ Payor Number 701 <br />Address 8663 S Cnty Rd 109 <br />Alamosa, CO 81101-9423 <br />Subscribed and sworn to before me by <br />On this day of 20 <br />My Commission Expires 20 <br />Notary Public <br />Date Stamp Land Board Use Only <br />Verfied Receipt No <br />Posted Date <br />Notes: <br />SL/0702 <br />