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Receipt 05/08/2014 10:29 AM 151363 <br />/� COLLEEN STEWART GILPIN COUNTT CO <br />R� f fo �1/y/ J99ePLACERSLOCAIPI0 CERTIFICATE T,6,11- 16 25 1- 1-1 1 DO <br />Ill <br />11111I1 <br />United States Department of the Interior <br />Bureau of Land Management <br />DIV OF SUPPORT SERVICES <br />2850 YOUNGFIELD STREET <br />LAKEWOOD, CO 80215 -7076 <br />Phone: (303) 239-3600 <br />ransaction #: 3118712 <br />ate of Transaction: 05/08/2014 <br />CUSTOMER: <br />HOMAS MUSCH <br />14 AMERICAS WAY # 3773 <br />�OX ELDER,SD 57719-7600 US <br />No: <br />Receipt <br />M tial 012- <br />3028396 <br />Alk <br />LINE: <br /># <br />1 <br />QTY <br />1.00 <br />DESCRIPTION <br />LOCATABLE MINERALS / MINING CLAIMS - <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />NEW MINING CLAIM PROCESSING FEE <br />CASES: CMC286452/$20.00 <br />LOCATABLE MINERALS / MINING CLAIMS- <br />REMARKS <br />UNIT <br />PRICE <br />- n/a - <br />TOTAL <br />20.00 <br />2 <br />1.00 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />BOX ELDER SD 57719-7600 US <br />NEW MINING CLAIM LOCATION FEE $34 <br />- n/a - <br />34.00 <br />CASES: CMC286452/$34.00 <br />LOCATABLE MINERALS / MINING CLAIMS- <br />3 <br />1.00 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />NEW MINING CLAIM MAINT FEE $140 <br />- n/a - <br />140.00 <br />CASES: CMC286452/$140.00 <br />LOCATABLE MINERALS / MINING CLAIMS- <br />4 <br />1.00 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />NEW MINING CLAIM MAINT FEE $140 <br />- n/a - <br />140.00 <br />CASES: CMC286452/$140.00 <br />TOTAL: <br />$334.00 <br />PAYMENT INFORMATION <br />AMOUNT: 334.00 1 POSTMARKED: N/A <br />TY�liflCASH jL RECEIVED: 05/08/2014 <br />NAME: <br />MUS H, THOMAS <br />514 AMERICAS WAY # 3773 <br />BOX ELDER SD 57719-7600 US <br />http://cbs.blm. jzov/cRibin/cbsn/zorder 5 /R /? n 1 a <br />