N FORM Date of Request: Friday, January 19, 2007 Amount Requested: 23,000.00 Payee: Address: (required) Bank Name: Bank Address: (required) Rose Bros. Inc P.O. Box 319 Lingle, WY 82223 Bankers Bank of the West 1099 18th Street Suite # 2700 Denver CO 80202 ABA# Further Credit to: First National B