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Business Account/Sole Proprietor/Non Profit <br />New Account Worksheet <br />Branch Name AMERICAN NATL BANK - BOULDER, Account # <br />Business/Entity Name MOUNT ROYALE VENTURES,LLC <br />Type/Nature of Business MINING <br />Business Identification Code 2100 <br />Street Address* 1313 SHERMAN ST RM 215 <br />*(Please note: P.O. Box holders must furnish physical address as well as mailing address) <br />City DENVER State CO Zip Code 80203 <br />Taxpayer ID #:. <br />Type of Account: COD PUBLIC FUNDS <br />Amount of Opening Deposit: $ 176; 000- D(Z <br />Source of Funds: Checking Cash Internal Transfer: (Account # ) <br />Types of Activities: (See #16 on instruction sheet) <br />Do you/will you cash checks for people? Y or) <br />Do you/will you perform wire transfer services (Moneygram, Western Union, etc.)? Y 0 111?> <br />Do you/will you sell/cash money orders? Y or&)Do you/will you sell/cash travelers checks? Y o6 <br />Types of deposit/withdrawals typically made? (Circle all that apply or will apply) <br />Cash, Checks, Electronic, Wire Transfers - Domestic, Wire Transfers - International, or <br />Other (please specify) <br />Comments: <br />X <br />information.) have provided is correct to the best of my knowledge. <br />(Signature of authorized signer/owner/partner) <br />Date: 11/13/2006 <br />CHRISTOPHER MELIN <br />(Print name of bank employee completing this form) <br />Bus. Cust. Profile 3/06