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Receipt Page 1 of 1 <br /> United States Department of the Interior <br /> Bureau of Land Management Receipt <br /> DIV OF SUPPORT SERVICES c�'•. <br /> 2850 YOUNGFIELD STREET <br /> LAKEWOOD,CO 80215-7076 No: 3967121 - <br /> Phone:(303)239-3600 <br /> Transaction#:4077013 <br /> Date of Transaction:08/31/2017 <br /> CUSTOMER: `} <br /> THANK YOU FOR <br /> GOLD TAMERS LLC YOUR RECENT MINING <br /> 216 1ST ST STE D CLAIM FILING. <br /> EATON,CO 80615-3598 US THIS IS A COPY FOR <br /> YOUR RECORDS <br /> LINE QTY DESCRIPTION REMARKS PRICE TOTAL <br /> LOCATABLE MINERALS/MINING CLAIMS- <br /> NOT1 1.00 NEW-UNADJUD,ONE AUTH NO.ONLY/ -n/a- 40.00 <br /> MINING CLAIM MONEY RECEIVED <br /> CASES:CMC245048/$40.00 <br /> TOTAL: $40.00 <br /> PAYMENT INFORMATION <br /> NOTE:Items will appear on credit card statement as'Bureau of Land Mgmt CO". <br /> 1 AMOUNT: 40.00 POSTMARKED: N/A <br /> TYPE: CREDIT CARD RECEIVED: 08/31/2017 <br /> NAME: GOLD TAMERS LLC <br /> 216 1ST STSTED <br /> EATON CO 80615-3598 US <br /> CARD NO: XXXXXXXXXXXX9352 AUTH CODE: 081635 <br /> NAME ON CALEBBOLANDER <br /> CARD: <br /> EXPIRES: 06/2020 <br /> SIGNATURE: <br /> REMARKS <br /> RECORDS UPDATED <br /> This receipt was generated by the automated BLM Collections andgyWAsNaf l.rl rtion <br /> of the official electronic record contained therein. For Assessment Year <br /> Rcpt# • <br /> Initials oZ Date SEP 2 7 2017 <br /> https://ilmocop0ap933.blm.doi.net/cgibin/cbsp/zorder 8/31/2017 �' <br />