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Rece~p[ `~ <br />http://cbs.blm.gov/cgibin/cbs/zordei <br />United States Department of the Interior <br />Bureau of Land 1VIanagement <br />DN OF SUPPORT SERVICES <br />2850 YOUNGFIELD STREET <br />LAKEWOOD, CO 80215 -7076 No: <br />Phone: 303-239-3600 <br />Receipt <br />1058224 <br />!Transaction #: 1095554 <br />1Date of Transaction: 04/12/2005 <br />CUSTOMER: DAVID H CHILES <br />26164 Z 26 RD. <br />!P.G. BOX 340 <br />81424-0340 <br />LINE # iQTY i DESCRIPTION REMARKS ~ <br />CE TOTAL <br /> PRI <br /> LOCATABLE MINERALS /MINING CLAIMS-NEW, r--- I <br /> UNADIUDI, ONE OR MORE AUTH NO'S /NEW <br /> MINING CLAIM LOCATION FEE $25 (1993) II <br />1 7.00 CASES: CMC253248/$25.00, CMC253249/$25.00, - n/a - -,175:00 <br /> CMC253250/$25.00; CMC253251/$25.00, <br />' <br />' <br /> 'CMC253254/$25.00 CMC253253/$25.00, :... <br />'. " <br />I --., <br /> LOCATABLE MINERALS /MINING CLAIMS-NEW, ~-+ <br /> UNADIUDI, ONE OR MORE AUTH NO'S /NEW j I ! <br /> MINING CLAIM SVC CHG $10 (1930) <br />2 7.00 CASES: CMC253248/$10.00, CMC253249/$10.00, ~ ( - n/a - ~ :70.00 <br /> CMC253250/$10.00, CMC253251/$10.00, <br /> CMC253252!$10.00, CMC253253/$10.00, <br /> CMC2532541$10.00 i 1 <br /> LOCATABLE MINERALS /MINING CLAIMS-NEW, <br /> UNADJi1DI, ONE OR MORE AUTII NO'S /NEW <br /> MINING CLM MAINT FEE $100(1993) <br />~ <br />3 7.00 _ CASES:- CMC253248/$100.00, CMC253249/$100.00, - ( - n/a - 700.00 <br /> <br />~ CMC253250/$100.00, CMC253251/$100.00, <br />~ CMC253252/$100.00, CMC253253/$100.00, ~ <br />~ j CMC253254/$100.00 <br />TOTAL: i $ <br />PAYMENT INFORMATION <br />~ 1 AMOUNT: $945.00 POSTMARKED: !04!08/2005 <br />I TYPE: (CHECK ~ RECEIVED: 04/11/2005 <br />CHECK NO: ;7718 <br />NAME: CI~.ES, SYLVIA C <br />I 26164 Z 26 RD. <br />P.O. BOX 340 <br />! (NUCLA CO 81424 0340 <br />of 2 4/t J2005 8:21 AM <br />