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t - <br /> Receipt a cfo3c , Page 1 of 2 <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: 4116503 <br /> Phone: (303) 239-3600 <br /> Transaction#: 4229899 <br /> Date of Transaction: 03/20/2018 <br /> CUSTOMER: <br /> LEVI KESSLER <br /> 3625 CATALPA DR <br /> COLORADO SPRINGS,CO 80907-4936 US <br /> LIN#E FQ <br /> TY DESCRIPTION REMARKS UNIT TOTAL <br /> PRICE <br /> LOCATABLE MINERALS /MINING CLAIMS- <br /> NEW,UNADJUD, ONE OR MORE AUTH NOS / _ n/a- 20.00 <br /> 1 1.00 NEW MINING CLAIM PROCESSING FEE <br /> CASES: CMC290306/$20.00 <br /> LOCATABLE MINERALS /MINING CLAIMS- <br /> NEW,UNADJUD, ONE OR MORE AUTH NOS / _ n/a_ 37.00 <br /> 2 1.00 NEW MINING CLAIMS LOCATION FEE <br /> CASES: CMC290306/$37.00 <br /> LOCATABLE MINERALS /MINING CLAIMS- <br /> NEW,UNADJUD, ONE OR MORE AUTH NOS/ -n/a- 155.00 <br /> 3 1.00 NEW MINING CLAIMS MAINTENANCE FEE <br /> CASES: CMC290306/$155.00 <br /> TOTAQJ $212.00 <br /> PAYMENT INFORMATION <br /> NOTE: Items will appear on credit card statement as "Bureau of Land M mt CO". <br /> 1 AMOUNT )212.00 POSTMARKED: N/A <br /> TYPE: CREDIT CARD RECEIVED: 03/20/2018 <br /> NAME: ANCHETA, ANNALIS S <br /> 3625 CATALPA DR <br /> COLORADO SPRINGS CO 80907-4936 US <br /> CARD NO: XXXXXXXXXXXX6301 AUTH CODE: 043416 1 <br /> NAME ON ANNALISA SANCHETA <br /> CARD: <br /> EXPIRES: 09/2020 <br /> SIGNATURE: <br />