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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 <br /> 2850 YOUNGFIELD STREET <br /> LAKEWOOD, CO 80215 -7076 No: 4203884 <br /> Phone: (303) 239-3600 <br /> THANK YOU FOR YOUR RECENT <br /> Transaction#: 4318813 MINING CLAIM FILING <br /> Date of Transaction: 07/02/2018 <br /> CUSTOMER: THIS IS A COPY FOR YOUR RECORDS <br /> CHARLES SULFRIAN <br /> 2906 MARILYN RD <br /> COLORADO SPRINGS,CO 80909 US <br /> LINE QTY DESCRIPTION REMARKS PRICE TOTAL <br /> LOCATABLE MINERALS/MINING CLAIMS- <br /> NOT NEW-UNADJUD,ONE AUTH NO. ONLY n/a- 155.00 <br /> MINING CLAIM MONEY RECEIVED <br /> CASES: CMC254209/$155.00 <br /> TOTAL: $155.O <br /> PAYMENT INFORMATION <br /> NOTE: Items will appear on credit card statement as "BLM O Mining Claim". <br /> 1 I AMOUNT: 155.00 POSTMARKED: /A <br /> TYPE: CREDIT CARD RECEIVED: 07/02/2018 <br /> NAME: CHARLES SULFRIAN <br /> 2906 MARILYN RD <br /> COLORADO SPRINGS CO 80909 US <br /> CARD NO: 6492 AUTH CODE: 106590G <br /> NAME ON CHARLES SULFRIAN <br /> CARD: <br /> L-11 SIGNATURE:11 <br /> REMARKS <br /> This receipt was generated by the automated BLM Collections and Billing System and is apa er representation of a portion <br /> of the official electronic record contained therein. RECORDS UPD ► ED <br /> Action Code(s) -7.�2- <br /> For aC l(I Assessment Year <br /> Rcpt# <br /> Initials 5-Nq Date -7 Ct <br /> https://ilmocop0ap933.blm.doi.net/cgibin/cbsp/zorder search?screen mode=RECEIPT 7/9/2018 <br />