2000-08-14_REPORT - M1980135

• Permit No: M1980135
• IBM Index Class Name: Report
• Doc Date: 8/14/2000
• Doc Name: ANNUAL REPORT
• Media Type: D
• Archive: No

0 . A
STATE OF COLOMDO
DIVISION OF MINERALS AND GEOLOGY
Deparlmenl of Natural Resources
1313 Sherman St 7rrm '15
Denver,Coloraco 6c-,3 D i b s 1 J 'N v
Phone:[phone]i MINERALS
FAX.[phone] &
GEOLOGY
DATE: May 18, 2000 Iy / RECLAMATION
MINING•SAFETY
�y"/0�Of'qy Bill Owens
TO: Farmers State Bank Governor
°�s Greg E.Walther�
200 Clayton St. CPo Eaecmive Director
Michael B.Long
P.O. BOX 324 y Division Director
Brush CO 80423
FROM: Ms. Barbara Chiappone or Ms. Suzi Erickscn
Division of Minerals and Geology
1313 Sherman St., Rm. 215
Denver, CO 80203
SUBJECT: Verification of Certificates of Deposit
In order for our Division to insure that Certificates of Deposit held by us are still valid, in good standing,and continue
to meet requirements of the Division and the State of Colorado,we are requesting the following information. It would
be appreciated,if you could provide this information to us by June 3rd.
The following is a list of certificates for our agency under the given Public Deposit Protection Act Number that are on
deposit in your institution along with space to report the current CD number, balance and whether or not the CD is
assigned to the State of Colorado.
Division of Minerals and Geology Public Deposit Protection Act Number: 010004005101
Perminee Permit# Account# Face Value Balance Assignment
Farmers Bank of Brush M1980135 17926 $20,000.00 $20,000.00
If the collateral is held by someone other than your financial institution, please so indictate.
In addition, 1(we)certify that our financial institution is an Eligible Public Depository as required by Title 11 of the
Colorado Revised Statutes.
Name of Financial Institution: THE FARMERS STATE BANK. OF BRUSH
Person Submitting the Information: JUDY N COGHILL
Title of Preparer: ASSTSTANT 11Tr'F PRFSTT)FNT
Telephone Number of Preparer: [phone]
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