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WESTERN FUELS - COLORADO <br />NEW HORIZON MINE <br />P. 0. Box 628 27646 W. 5th Ave. <br />Nucla, Colorado 81424 <br />Phone (970) 864 -2165 <br />** **two thousand dollars and no cents <br />G\ —ZOO z -OO r1 <br />x- Zf1 <br />Reference # <br />Pay to the order of <br />Colorado Division of Reclamation <br />Mining and Safety <br />1313 Sherman Street Room 215 11 <br />Denver CO 80203 <br />NOV NO: CV- 2012 -0C CV- 2012 -007 <br />NOV NO: CV- 2012 -0C CV- 2012 -006 <br />WELLS FARGO BANK WEST, N.A. <br /> <br />01/18/2013 <br /> <br />Western Fuels <br />Transaction # <br />RECEIVED <br />JAN 2 42013 <br />Divisipn of Reclamation. <br />tViining & Safcty <br />- Colorado, LLC <br />Trans. Date <br />01/14/2013 <br />01/14/2013 <br />Check Date <br />PO Number <br />1/18/2013 <br />Trans. Amount Amount Paid Discount <br />750.00 <br />1,250.00 <br />2,000.00 <br />$2,000.00 <br />750.00 0.00 <br />1,250.00 0.00 <br />2,000.00 0.00 <br />Net Paid <br />2,000.00 <br />750.00 <br />1,250.00 <br />