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_ Unl18Q States EanxruotCy' )urt
<br /> 4� ' PROOF OF CLAii., .•
<br /> ClgtrlCt of Colorado ,..
<br /> r. re Name of
<br /> Hid Continent Resources, Inc. 92^11658 PAC
<br /> 40tE :rus :arm snows no: cc usea ro raxc a =lm :or an scnlnlstra(ic cxcense ar.s•rc aacr :r.c cormamca- r)U
<br /> ire` of `1 C3se 4 facUesr IC' navmefit of an tOdr1iSfrai*,d aYCem Se —8V Ce ° ' L:Z.0 S _�� I 9v �r L r11 J'
<br /> Nar^e ;: t;:ea�tcr
<br /> ,T''ex;.xlcro�er e�c-x �Cnecx cox tr .:� are aware I^3r i 1`•,,, _
<br /> v rron ormr :nee mavv or a'xorv, 3nvone e'se res ilea a _rCaf or C_!r• .1 s.
<br /> Colgradg Div ion of Minerals b Ccolo v ,vipro :c '.,Cur C!3,m. Ara:^ -COY cr
<br /> Nara E^a Acores$ vVrefa NCIIC05 4jrCU1C Ce Sant $tenement ;rvtn^y Can1CU13rs.
<br /> Frank R. Johnson
<br /> (rl cnCCX Cox '1 feu meve: fecalveC env
<br /> Office of the Attorney General .c:lces ', ...
<br /> y r:-e canx =_-y c,._ Ir'
<br /> 1525 Sherman Street, 5th Floor Mis case,
<br /> ❑cnver, Colorado 80203 [:Cnecx cox ,I •-s accress c:r'ers rrm
<br /> ,he aCcress an :rte envLlcce $en1 D
<br /> Telec^one No (303) 866-5117 you ev irie .c_rt. I C0'_'R7 USc ONLY
<br /> fB013.d8
<br /> r:heCx Here it ^.is c:a,m =_a.•-enas } 3 C'eViCLSY Llf❑ C1 C?reC'
<br /> ' (-ei-n17, M-82-121, H-77-420 3iT
<br /> ,
<br /> I e-S,S FCR CLAIM
<br /> Goces said l Retiree cements as celirm In I? U.S C ? 11'4iai
<br /> Services pariormec L, Wace. satares. ana car„r,Issions 1r',,I out ce-owl
<br /> Maney loaned vCur socrai secunry numoer
<br /> ' Fe'.anal ,rluryrwrDngfl)I aaath Unzd:e CCrr.oen83tlon for services Cericrrea
<br /> Taxes 'Tom •o
<br /> Reclamation of coal Catel :cale>
<br /> i X Other 106scrloe ofleliyt and mineral mines
<br /> :2. :ATE CE27 WAS INCURRED 0. P CCUAT ..UOGMENT. CATE v:TAINED.
<br /> ' On-nninn nblination
<br /> 14, :'_. SSIF;CATION CF CLAim, ,lrlcar :no danxtu.-tcy CCce all c:a,rnr. are C:eSS:LBC if Cho Cr 'rcre of :no icazzosing: t:I Ur.$_CyreC ranCnor:ry
<br /> _21 Unsecured Prlonrv, i.11 Securm, '1 9 Cc*11tio for can of a claim to co in one cs:eccry ano csrr fir $raper.
<br /> _HECK THE APPROPRIATE 8Cx OR eOXES ;Hat oe5I Cescr:ca your chin ana STATE THE AMOUNT OF TnE CLAim
<br /> SECURED CI_A(M S 3,015,713 ❑UNSECURED PRICRITY CLAIM S unl i aui dated
<br /> ' Attacn evtoenct: of certecucn of .scunty :nterasl soeaty ine enorty of Ine clew.
<br /> 3nef Oescnas:cn of Cc:iaseral: C Wages. safares. of ccrnrtss,ons lac ;0 5'.000. eamee rcr more
<br /> Heal Estate h Motor vehicle _, Other ICesc.ine) ;nsn °0 cays ce:are Irling or me esnxruc:cy zduncn of cesaaaon
<br /> A-ount of arrearage are ciher charges Incufdea .n secure^_ c131m aoove of tee ceders cusine.s, wrtcrlcver •s esn:ef% 11 U.S.C. § ;x71(al(3)
<br /> ranyi CcrtR^u,anS to an tmolCyee Demerit olar. • :1 U.S C. y 507(d)i4)
<br /> JNSEC;,RED NONPRIORITY C:r11M5 5 unl i ui dated C Jo to __a of deocsim towara ourc Lase 'ease cr rerisf of
<br /> ,,
<br /> C1alm is unsecured it here is ra =:lateral or Ilan on property aservices for Cc=na:, :aniliy, or rCusencic use•11 U.S.C. § 507(at(GI
<br /> 1 — _
<br /> :aorer secunno :ire vain or to Ine extent mal ;nt value cl Suerline
<br /> axes Cr ^^efaities Ct ccvemrrenia' ,-its - :I t.5 C. § 507 a)(7)
<br /> I
<br /> i ..oceriy Is ,es5 inam Ind a:ncurt of vis calm, •":ner - :: U.5 C Sy SC7:a:r2)• w151 -L)a5c-ce --eliyl
<br /> civil Denalties ana reclamation costs
<br /> 'CTAL AMOUNT OF
<br /> CL,tw A7 -!.talc $ t�nl i aui datr I 5 j 01��7i� 5 irnl i it is +at Art 5 unl i 4ui dated 1
<br /> CASE r!l„r,0. Ilim]eCure Cl t�eCUfeCI (Pr,Ontyl ,�70r1
<br /> r .:x !^,a tax d cfairt l"VuCes arecell(kcm cnerce! Im accltlon 10 the Drincicat amount Cf Ine clams litacn r:tt•^,:tc Si.1:CfT'C^t ail acdic"al crarces.
<br /> 6. CnEDi T S AND SF-OFFS: The amount cf a!! payments on this c:aim has been crec:ted and THIS SPACE 13 FQFI
<br /> ceou=eo for the rurccse of making this proof of claim. In filing tniS claim, claimant has COI;RT USE ONLY
<br /> t
<br /> csaucted all amounts that cialmant owes to debtor.
<br /> 7. SUFFORTiNG 000JM`NT: Att%Ch Cooles of sUoocrrir,q cocumenr5, suer, as promisscry
<br /> i rotes. purchase oraem, invoices, itemlzea statements of runn:n5 acc:=S, contracts.
<br /> C:::r, judgments. or evidence of securrry interest. If the dCCu:r,ents are not evaii3ble.
<br /> exclaln. If the documents ate vclumrnous, aRacn a summary.
<br /> I
<br /> ( F. T:.MS•STAMPED COFY: To receive an acknowledprsent of the filine of vcur C!a:,;.. encicse
<br /> Sta•!noac, sett-aCCresse'3, envelope and CCCy Ot lnis prCOf C:aim.
<br /> i
<br /> , I
<br /> Da:e: fitgn, ana print the name anc tijle,if any, C, the erector cr c:Her
<br /> person aufhan
<br /> m zea t0 file tnls jr to py of paver of
<br /> a;loey, if any) -l
<br /> l 7 try�-
<br /> J(/ Frank R. Johnson
<br /> Assistant Attorney General
<br /> Fen1R,v for Presenarq Frit.,=Wt CXM: hna of uo to $500.000•00 or Irnprrcnmenr for t.a to years. or Doan. IS U.S.C. 'H 152 aria 3S71
<br /> =a,,,Tns In_.•P.O.Box 11o4 s L:Jclla.CA 92038•800/854•t080.Official Form 1C
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