Uni-Statement

Account Number:
1 036 7897 3340
P.O. Box 1800
Saint Paul, Minnesota 55101-0800 Statement Period:
259 TRN X ST01 Jan. 15, 2011
through
Feb. 14, 2011

Page 1 of 3

000040714 1 SP 106481960144938 S
JENNIFER A BAER To Contact U.S. Bank
8232 OTIS CT
ARVADA CO 80003-1736 By Phone: 1-800-US BANKS
(1-800-872-2657)
Denver
Metro Area: (303-585-8585)

Telecommunications Device
for the Deaf: 1-800-685-5065

Internet: usbank.com

FREE CHECKING Member FDIC

U.S. Bank National Association Account Number 1-036-7897-3340
Account Summary
Beginning Balance on Jan. 15 $ 169.77
Deposits / Credits 966.30 Number of Days in Statement Period 31
Card Withdrawals 351.35-
Other Withdrawals 85.17-

Ending Balance on Feb. 14, 2011 $ 699.55

Reward Program Summary

All Rewards shown are as of Feb. 14, 2011

FlexPerks Cash Rewards Visa Check Card Check Card Number: * 3834

Reward Rewards Rewards Current Rewards

Enrollment Earned Redeemed Rewards Available
Date Program to Date Program to Date Balance to Redeem
08/18/2009 $ 0.00 $ 0.00 $ 0.00 $ 0.00

FlexPerks Cash Rewards Visa Check Card Check Card Number: * 6974

Reward Rewards Rewards Current Rewards

Enrollment Earned Redeemed Rewards Available
Date Program to Date Program to Date Balance to Redeem
09/11/2009 $ 10.47 $ 0.00 $ 10.47 $ 10.00

Deposits / Credits
Date Description of Transaction Ref Number Amount
Jan. 19 Internet Banking Transfer From Account 103679062457 $ 75.00
Jan. 25 Electronic Deposit From CO FAM SUPP REG 124.15
REF=11024008722694 Y CHILD SUPT2840644739
Feb. 8 Electronic Deposit From CO FAM SUPP REG 124.15
REF=11038014285800 Y CHILD SUPT2840644739
Feb. 14 Electronic Deposit From CO FAM SUPP REG 643.00
REF=11042007092391 Y CHILD SUPT2840644739

Total Deposits / Credits $ 966.30

 BALANCE YOUR ACCOUNT
To keep track of all your transactions, you should balance your account every month. Please
examine this statement immediately. We will assume that the balance and transactions shown are
correct unless you notify us of an error.

Outstanding Deposits
DATE AMOUNT 1. List any deposits that do not appear on your statement in the Outstanding Deposits section at
the left. Record the total.

2. Check off in your checkbook register all checks, withdrawals (including Check Card and ATM)
and automatic payments that appear on your statement. Withdrawals that are NOT checked
TOTAL $ off should be recorded in the Outstanding Withdrawals section at the left. Record the total.

Outstanding Withdrawals 3. Enter the ending balance shown on this statement. $_____________
DATE AMOUNT
4. Enter the total deposits recorded in the Outstanding Deposits section. $_____________

5. Total lines 3 and 4. $_____________

6. Enter the total withdrawals recorded in the Outstanding Withdrawals

section. $_____________

7. Subtract line 6 from line 5. This is your balance. $_____________

8. Enter in your register and subtract from your register balance any checks, withdrawals or other
debits (including fees, if any) that appear on your statement but have not been recorded in your
register.

9. Enter in your register and add to your register balance any deposits or other credits (including
interest, if any) that appear in your statement but have not been recorded in your register.

10. The balance in your register should be the same as the balance shown in #7. If it does not match,
TOTAL $ review and check all figures used, and check the addition and subtraction in your register. If
necessary, review and balance your statement from the previous month.

IMPORTANT DISCLOSURES TO OUR CONSUMER CUSTOMERS

In Case of Errors or Questions About Your Checking, Savings, ATM, Check Card, ACH, Bill Pay and Other Electronic Transfers
If you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt, we must hear from you no later than 60 days* after we sent you
the FIRST statement on which the error or problem appeared. Telephone us at the number listed on the front of this statement or write to us at U.S. Bank P.O. Box 64991 St. Paul, MN
55164-9505.
Tell us your name and account number.
Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information.
Tell us the dollar amount of the suspected error.
We will tell you all the results of our investigation within 10 business days and will correct any error promptly. If we need more time, we may take up to 45 days to investigate your complaint.
In that case, we will provisionally credit your account for the amount you think is in error, so that you will have the use of the money during the time it takes us to complete our investigation.
For transfers initiated outside the United States or transfers resulting from point of sale debit card transactions, the time period for provisional credit is 10 business days and the time to
resolve the investigation is 90 days.
*Please note: Paper draft and paper check claims must be disputed within 30 days per Your Deposit Account Agreement.

CONSUMER BILLING RIGHTS SUMMARY

In Case of Errors or Questions About Your Credit Card or Line of Credit Statement
If you think your statement is wrong, or if you need more information about a transaction on your statement, write to us on a separate sheet at the address shown on your credit card or line
of credit statement as soon as possible. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. You can telephone
us, but doing so will not preserve your rights. In your letter, provide us the following information:
Your name and account number.
The dollar amount of the suspected error.
Date the transaction occurred.
Describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the item you are unsure about.
You do not have to pay any amount in question while we are investigating, but you are still obligated to pay the parts of your statement that are not in question. While we investigate your
question, we cannot report you as delinquent or take any action to collect the amount you question.

SPECIAL RULE FOR CREDIT CARD PURCHASES

If you have a problem with the quality of the goods or services that you purchased with a credit card, and you have tried in good faith to correct the problem with the merchant, you may not
have to pay the remaining amount due on the goods or services. You have this protection only when the purchase price was more than $50 and the purchase was made in your home state
or within 100 miles of your mailing address. If we own or operate the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.

RESERVE LINE
Reserve Line Balance Computation Method: To calculate the Balance Subject to Interest Rate (sometimes referred to as the "average daily balance"), we take the beginning balance of
your account each day, add any new advances, and subtract any payments, credits and unpaid interest charges. This gives us a daily balance. Then, we add up all the daily balances for
the billing cycle and divide the total by the number of days in the billing cycle. This is your Balance Subject to Interest Rate. The ***INTEREST CHARGE*** begins from the date of each
advance.

REPORTS TO AND FROM CREDIT BUREAUS

We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.

IMPORTANT DISCLOSURES TO OUR BUSINESS CUSTOMERS

Errors related to any transaction on a business account will be governed by any agreement between us and/or all applicable rules and regulations governing such transactions, including
the rules of the National Automated Clearing House Association (NACHA Rules) as may be amended from time to time. If you think this statement is wrong, please telephone us at the
number listed on the front of this statement immediately.

Member FDIC
 JENNIFER A BAER Uni-Statement
8232 OTIS CT Account Number:
ARVADA CO 80003-1736 1 036 7897 3340
Statement Period:
Jan. 15, 2011
through
Feb. 14, 2011

Page 2 of 3

FREE CHECKING (CONTINUED)

U.S. Bank National Association Account Number 1-036-7897-3340

Card Withdrawals
Date Description of Transaction Ref Number Amount
Card Number xxxx-xxxx-xxxx- 6974
Jan. 18 Visa Purchase (Non-PIN) On 011611 ARVADA CO 7000001768 $ 1.08-
BLOCKBUSTEREXPRE REF # 24767251017000001768 US1
Jan. 18 Visa Purchase (Non-PIN) On 011411 ARVADA CO 4720037553 2.58-
MCDONALD'S F2580 REF # 24427331014720037553 US1
Jan. 18 Visa Purchase (Non-PIN) On 011611 ARVADA CO 6720031103 2.58-
MCDONALD'S F2580 REF # 24427331016720031103 US1
Jan. 18 Visa Purchase (Non-PIN) On 011411 ARVADA CO 5364321370 4.96-
TACO BELL#451100 REF # 24164071015364321370 US1
Jan. 18 Visa Purchase (Non-PIN) On 011511 ARVADA CO 6364322550 4.96-
TACO BELL2087300 REF # 24164071016364322550 US1
Jan. 18 Visa Purchase (Non-PIN) On 011711 ARVADA CO 7720035620 6.25-
MCDONALD'S F6395 REF # 24427331017720035620 US1
Jan. 18 Visa Purchase (Non-PIN) On 011311 THORNTON CO 4710012482 6.90-
CHICK-FIL-A #129 REF # 24427331014710012482 US1
Jan. 18 Visa Purchase (Non-PIN) On 011611 ARVADA CO 7548422057 9.00-
SHELL OIL 574438 REF # 24316051017548422057 US1
Jan. 18 Visa Purchase (Non-PIN) On 011611 ARVADA CO 7364290946 10.51-
TACO BELL#451100 REF # 24164071017364290946 US1
Jan. 18 Visa Purchase (Non-PIN) On 011611 ARVADA CO 6091007653 11.54-
TARGET 00 REF # 24164071016091007653 US1
Jan. 18 Visa Purchase (Non-PIN) On 011411 ARVADA CO 5038013011 14.02-
SAFEWAY STORE 00 REF # 24164071015038013011 US1
Jan. 18 Visa Purchase (Non-PIN) On 011611 LAKEWOOD CO 7572145019 24.86-
NOODLES & CO 112 REF # 24323011017572145019 US1
Jan. 18 Visa Purchase (Non-PIN) On 011411 ARVADA CO 6980146034 29.84-
COOKIE LEE JEWLR REF # 24707801016980146034 US1
Jan. 19 Visa Purchase (Non-PIN) On 011811 ARVADA CO 8720031889 5.82-
MCDONALD'S F2580 REF # 24427331018720031889 US1
Jan. 19 Visa Purchase (Non-PIN) On 011711 WESTMINSTER CO 8868011060 8.68-
DOLRTREE 2668 00 REF # 24164071018868011060 US1
Jan. 20 Visa Purchase (Non-PIN) On 011811 DENVER CO 9038012050 36.89-
SAFEWAY FUEL 10 REF # 24164071019038012050 US1
Jan. 24 Visa Purchase (Non-PIN) On 012011 WESTMINISTER CO 1710028640 5.62-
MCDONALD'S F1052 REF # 24427331021710028640 US1
Jan. 24 Visa Purchase (Non-PIN) On 012311 LAKEWOOD CO 3142001391 6.63-
WAL-MART #2125 REF # 24455011023142001391 US1
Jan. 24 Visa Purchase (Non-PIN) On 012211 ARVADA CO 3300148784 7.20-
KING SOOPERS #00 REF # 24445001023300148784 US1
Jan. 24 Visa Purchase (Non-PIN) On 012311 ARVADA CO 3720032326 10.75-
MCDONALD'S F2580 REF # 24427331023720032326 US1
Jan. 26 Visa Purchase (Non-PIN) On 012411 ARVADA CO 5038015380 20.72-
SAFEWAY FUEL 10 REF # 24164071025038015380 US1
Jan. 28 Visa Purchase (Non-PIN) On 012711 WESTMINISTER CO 7720026116 4.75-
MCDONALD'S F1052 REF # 24427331027720026116 US1
Jan. 31 Visa Purchase (Non-PIN) On 013011 ARVADA CO 0720034327 4.71-
MCDONALD'S F2580 REF # 24427331030720034327 US1
Jan. 31 Visa Purchase (Non-PIN) On 012911 ARVADA CO 0000189350 11.21-
LITTLE CAESARS 1 REF # 24445001030000189350 US1
Jan. 31 Visa Purchase (Non-PIN) On 013011 ARVADA CO 0720034327 15.65-
MCDONALD'S F2580 REF # 24427331030720034327 US1
Feb. 1 Visa Purchase (Non-PIN) On 013111 PARKER CO 1720031021 4.53-
MCDONALD'S #F213 REF # 24427331031720031021 US1
Feb. 1 Visa Purchase (Non-PIN) On 013111 PARKER CO 1814044960 38.80-
K&G PETROLE51510 REF # 24164071031814044960 US1
Feb. 3 Visa Purchase (Non-PIN) On 020111 ARVADA CO 3006625991 5.51-
7-ELEVEN 18594 REF # 24299101033006625991 US1
 JENNIFER A BAER Uni-Statement
8232 OTIS CT Account Number:
ARVADA CO 80003-1736 1 036 7897 3340
Statement Period:
Jan. 15, 2011
through
Feb. 14, 2011

Page 3 of 3

FREE CHECKING (CONTINUED)

U.S. Bank National Association Account Number 1-036-7897-3340

Card Withdrawals (continued)

Date Description of Transaction Ref Number Amount
Feb. 3 Visa Purchase (Non-PIN) On 020211 ARVADA CO 3720029950 6.46-
MCDONALD'S F2580 REF # 24427331033720029950 US1
Feb. 3 Visa Purchase (Non-PIN) On 020111 ARVADA CO 3364290941 8.39-
TACO BELL#451100 REF # 24164071033364290941 US1
Feb. 4 Visa Purchase (Non-PIN) On 020311 WESTMINISTER CO 4720027447 5.62-
MCDONALD'S F1052 REF # 24427331034720027447 US1
Feb. 4 Visa Purchase (Non-PIN) On 020211 ARVADA CO 4100144821 14.33-
WENDYS #0831 REF # 24445001034100144821 US1

Card 6974 Withdrawals Subtotal $ 351.35-

Total Card Withdrawals $ 351.35-

Other Withdrawals
Date Description of Transaction Ref Number Amount
Jan. 24 Customer Withdrawal 1646170458 $ 10.00-
Feb. 11 Electronic Withdrawal From PROG DIRECT INS 75.17-
REF=11041011136244 N INS PREM 9038800038

Total Other Withdrawals $ 85.17-

Balance Summary
Date Ending Balance Date Ending Balance Date Ending Balance
Jan. 18 40.69 Jan. 26 127.53 Feb. 4 7.57
Jan. 19 101.19 Jan. 28 122.78 Feb. 8 131.72
Jan. 20 64.30 Jan. 31 91.21 Feb. 11 56.55
Jan. 24 24.10 Feb. 1 47.88 Feb. 14 699.55
Jan. 25 148.25 Feb. 3 27.52

Balances only appear for days reflecting change.