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Receipt Page 1 of I <br /> United States Department of the Interior <br /> Bureau of Land Management Receipt <br /> DIV OF SUPPORT SERVICES <br /> 2850 YOUNGFIELD STREET <br /> LAKEWOOD,CO 80215 -7076 No: 3924909 <br /> Phone:(303)239-3600 <br /> Transaction#:4034438 <br /> Date of Transaction: 08/07/2017 <br /> CUSTOMER: <br /> BETSY C FORREST <br /> 8057 S VERMEJO PEAK <br /> LITTLETON,CO 80127-3852 US <br /> LINE QTY DESCRIPTION REMARKS PRICE <br /> TOTAL <br /> LOCATABLE MINERALS/MINING 1 1.00 CLAIMS- <br /> NOTNEW-UNADJUD,ONE AUTH NO. / -A/a- 40.00 <br /> MINING CLAIM MONEY RECEIVED <br /> CASES: CMC255354/$40.00 <br /> TOTAL: 540.00 <br /> PAYMENT INFORMATION <br /> INOTE: Items will appear on credit card statement as"Bureau of Land Mgmt CO". <br /> AMOUNT: 40.00 POSTMARKED: N/A <br /> TYPE: CREDIT CARD RECEIVED: 08/07/2017 <br /> NAME: FORREST.BETSY C <br /> 8057 S VERMEJO PEAK <br /> LITTLETON CO 80127-3852 US <br /> CARD NO: XXXXXXXXXXXX3712 AUTH CODE: 032181 <br /> NAME ON BETSY C FORREST <br /> CARD: <br /> EXPIRES: 06/2021 <br /> SIGNATURE: <br /> REMARKS <br /> This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion <br /> of the official electronic record contained therein. <br /> https://ilmocop0ap933.blm.doi.net/cgibinkbsp/zorder 8/7/2017 <br />