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tec~ip[ 6 <br />United States Department of the Interior <br />Surean of Land Management <br />DIV OF SUPPORT SERVICES <br />2850 YOUNGF7II.D STREET <br />LAKEWOOD, CO 80215 -7076 <br />Phone:303-239-3600 <br />.,,~. <br />1::- <br />Transaction #:1099670 i <br />Date of Transaction: 04/19/2005 <br />~{ ~, CUSTO DAVID H CHILES <br />~. ,~ ,~~ ~ ~ ~.~ BOX 340 <br />:. - ,. ? e " , ' NUCLA,CO 81424 ' <br />LINE <br /># + ! <br />QTY I <br />DESCRIPTION ~ <br />REMARKS ; iJNIT <br />PACE ' ' <br />TOTAL; <br /> ~ --- -- -- - - - - -- <br />! ~ LOCATABLE NIINERAI,S /MINING '" ,,,,Fi <br />' j CLAIMS-NEW, UNADJUDI, ONE OR ~ <br />~ <br />1 ~ <br />2.00 j MORE AUTH NO'S /NEW MINING CLM <br /> <br />~ OCATABLE MINERALS <br />i <br />- n/a - ! <br />200 <br /> ~ MAIIVT FEE $100(1993) CMC253873-253874 ~ ; -F=~~.~- <br /> ~ CASES: CMC253873/$100.00, <br /> ,~ CMC253874/$100.00 ~ , i ~' <br /> LOCATABLE MINERALS /MINING j ~` <br /> <br /> <br />~ <br />2 <br /> <br />~ <br />2 <br />0 CLAIMS-NEW, UNADJUDI, ONE OR <br /> <br />MORE AUTH NO'S /NEW MINING ~ i <br /> <br />LOCATABLE NIINERALS <br />± <br />1 <br />! <br />/ ~" <br />~ <br /> <br />20 00 <br />€ ' <br />0 ! CLAIM SVC CHG $10 (1930) CMC253873-253874 _ <br />a <br />- n £~ <br />~~ <br /> 3 CASES: CMC253873/$10.00, <br /> <br />~ <br />CMC253874/$10.00 _~ <br />--- ~ <br />--- <br />_ _ ,~ <br />~ ~'¢ <br /> LOCATABLE MINERALS /MINING ~ ~ ~'": <br /> CLAIMS-NEW, UNADJiJDI, ONE OR <br />' `~` <br /> <br />3 <br />2.00 MORE AUTH NO <br />S /NEW MINING ~ <br />i <br />CLAIM LOCATIO <br />FEE $25 <br />1993 LOCATABLE MINERALS <br />I <br />253874 <br />CMC253873 ~ <br />- ~$ - <br />~ ~r: <br />a«~50 00 <br />~ ( <br />) ~ <br />N - , ~a <br />~ <br /> ; CASES: CMC253873/$25.00, _~ <br />°~?' ""` <br />i CMC253874/$25.00 <br />TOTAL ~ < <br />-_._._._--------___._-- ----_-._-~_ _.._-__.___ __._m.__._______---...._..__._____ ~ .. $270:00 <br />. - ~ .REMARKS :. <br />This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion of the official <br />electronic record wntained therein. <br />http://cbs.bimgov/cgibin/cbshordet <br />~f I M19/21x15 9:52 AM <br />