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Receipt
<br />_ c,
<br />hnp://cbs.blm.gov/cgibin/cbs/zorde
<br />United States Department of the Interior
<br />Bureau of Land Management
<br />DIV OF SUPPORT SERVICES
<br />2850 YOUNGFIELD STREET
<br />LAKEWOOD, CO 80215 -7076
<br />Phone: 303-239-3600
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<br />,^~ ~, •Receipt
<br />x...Y-..,3...Y$pCS ~...
<br />No.. ;''t . _..,-„ :,"..,1078665 -
<br />,,
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<br />Transaction #: 11166"_' 1 ~
<br />Date of Transaction: OS/L8/2005
<br />- - CUSTOMER: DAVID H CHII.ES
<br />~' 26164 Z26 RD
<br />- PO BOX 340
<br />'''"x : NUCLA,CO 81424
<br />r--
<br />t,I~iE
<br />QTY
<br />DESCRIPTION
<br />REMARKS
<br />PRICE
<br />TOTAL
<br />
<br /> LOCATABLE MINERALS /MINING
<br /> CLAIMS-NEW, UNADJUDI, ONE OR
<br /> MORE AUTH NO'S 1 NEW MINING CLM
<br /> MAINT FEE $100(1993)
<br /> += CASES: CMC254358/$100.00, -'
<br /> ~, CMCti4359/$100.00, --
<br />`
<br /> / 2 CMC254360/$100.00, LOCATABLE MINEALS / ~ 1100
<br />00
<br />1 r 11.00 CMC254361/$100.00, CMC254358-254368 - n
<br />a - .
<br /> ~~' CNIC25436?/$100.00,
<br /> 'L CMC254363/$100.00, . ~' "~
<br />i
<br /> T!. CMC254364/$100.00,
<br /> CMC254365/$100.OQ I - _
<br /> ~ ~ CMC254366/$100.00, - -
<br /> / " CMC254367/$100.00, -
<br /> ~' (CMC254368!$100.00 I _
<br /> LOCATABLE MINERALS /MINING = '=~,
<br /> CLAIMS-NEW, UNADIiJDI, ONE OR
<br />`~,.
<br /> MORE AUTH NO'S /NEW MINING =~.:
<br /> CLAIMSVCCHG$10(1930) _ .3;
<br />
<br />2
<br />11.00 CASES: CMC254358/$1U.00, LOCATABLE MINEALS
<br />- n/a -
<br />110.00
<br /> CMC254359/$10.00, CMC254360/$10.00, CMC254358-254368 = _
<br /> CMC254361/$10.00, CMC254362/$10.00,
<br /> CMC254363/$10.00, CMC254364/$10.00, ' ' '~ `j
<br /> CMC254365/$10.00, CMC254366/$10.00, .
<br /> CMC254367/$l0.00, CMC254368/$10.00
<br />_.,_ ..:
<br /> LOCATABLE MINERALS /MINING "`°' '}'
<br />•
<br /> CLAIMS-NEW, UNADJUDI, ONE OR
<br />~, ~:;~ , .
<br />~`" ~'-
<br /> MORE AUTH NO'S /NEW MINING ;' `~, <.~
<br /> CLAIM LOCATION FEE $25 (1993) - -
<br />
<br />3
<br />11.00 CASES: CMC254358/$25.00, LOCATABLE MINEALS
<br />- n/a -
<br />275.00
<br /> CMC254359/$25.00, CMC254360!$25.00, CMC254358-254368
<br /> CMC254361/$25.00, CMC254362/$25.OQ -
<br /> CMC254363/$25.00, CMC254364/$25.00, -
<br /> CMC254365/$25.00, CMC254366/$25.00, _ _ -
<br /> CMC254367/$25.00, CMC254368/$25.00 -
<br />1 of 2 S/ 182005 2:39 Pll
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