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COLORDO BOARD OF LAND COMMISSIONERS <br />620 Centennial Building <br />131.3 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 DECEMBER 2007 <br />Lessee_Alamosa County Produced/Operated by <br />Subsection_SEQTR_Section(s)_4 Township_36 Range_8 <br />Product_Pit Run_ <br />Unit of Measure YD TN LB OZ BL QT <br />Beginning Inventory <br />Ending Inventory <br />Selling Price per Unit <br />Royalty Rate 0.30 <br />For Adjusted Reports, Previous Amount Paid $_ <br />Advance Minimum Royalty Credit (if applicable) $ <br />ROYALTY PAI D$ <br />If this is an adjustment, please explain <br />$915.00 <br />Contact Name_Phil West Telephone No. (719) _589-6262, <br />--------------------------------------------------------------------------------------------------------------------------- <br />I certify that this is a true and correct statement of production sold, value received, and royalty due the <br />State of Colorado for the period indicated. <br />Authorized Signature & Title ~.'2r/.~~"._ <br />Reporting Company Name_A amosa County Road & Bridge <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 />(CIRCLE ONE) <br />Un-its Produced 3050 <br />Units Sold <br />Gross Sales <br />ROYALTY DUE $915.00 <br />s~~P~~ <br />_ Payor Number 7"01 <br />SL/0702 <br />