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UNITED STATES <br /> DEPARTMENT OF THE INTERIOR BlYumbelrc201304006L,Y <br /> BUREAU OF LAND MANAGEMENT :Y --a <br /> Courtesy Statementt � <br /> Make Remittance Payable To DOLBLM and Mall To: <br /> IT'I'LE SNAKE FIELD OFFICE <br /> 55 EMERSON STREET <br /> RA.IG„CO 8 1 625-1 1 29 <br /> 970)826-5000 <br /> Please ineladebill <br /> number on sH <br /> remittnom& <br /> PIONEER SAND CO.INC. <br /> ayor' PO BOX 7650 <br /> COLORADO SPRINGS,CO 80933-7650 US <br /> DATE DESCRIPTION AMOUNT <br /> APPRAISAL AND PREPARATION $112.14 <br /> REF NO: COC 076325 ,COC 076325 <br /> BLM CONTACT:JENNIFER MAIOLO, (970)826-5077 <br /> AMOUNT DUE THIS BILL: $112.14 <br /> • Payment can be made by cash,check,money order or credit card.We accept Visa,Mastercard,Discover,and <br /> American Express. If paying by phone,please call the office number listed above. <br /> • Credit card payments can only be accepted for amounts of$49,999.99 or less. <br /> • Please return a copy of this COURTESY STATEMENT with payment. <br /> • If the above name and address is incorrect,please contact the BLM office listed above. <br /> This Hill was generated by the entatttated BLM Callectiaas and ailldap system sad Is a paper repmfentation ora pardon of the oiticdal electronic ret ord wotadnu!therein <br /> 1/'1 <br />