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US OA - Forest Ser--ir~ 1. ?lace of Issue <br />BILL FOR CO LLEGTION SOUTH PARK <br />(ref. FSM 6530) FAIRPL4Y <br />Please pay by menPy order, bank draft, or check 2. Date of Issue <br />payable to FOREST SERVICE, USDA. 05/08/42 <br />i1ai1 payment with this statement in the enclosed envelope <br />to: UNIT COLLECTION OFFICER, FOREST SEP.V ICE, Retain pink copy for <br />ROCK'( HOU;7TAIN REGION, FILE it31654 81008 your records. Receipt <br />P.0. Box 60000, SAN FRANCISCO, GA 94160-1654 will not be furnished <br />unless requested <br />JOHN BUCKNER FOR INFORMATION GALL: (i19) 876-2031 <br />2516 WALDEAN ST FOR OVERNIGHT NAIL: PLEASE HAIL OPILY <br />COLORADO SPRINGS CO 80903 TO THE ABOVE POST OFFICE BOX 60000 <br />ADDRESS USING ONLY EXPRESS HAIL OF <br />Please show any change of address below: f `''~ , <br />"~ <br />y ~~~,. <br />r:v ~ <br />3. Date or Period 4. Description 5'.^'Amou~Y~;;~O ~. <br />5%8/92 RECLAMATION BOND for the following mining L/~ , '~1 <br />THRU claims: TWO POINT, QUI-BUG 16:5, C&J 1, C&J 2, 1. `~ ~~ <br />COI4PLETION FREEHAWK, UTE. <br />OF F.ECL.At'IATION <br />Total bonding required $2200 <br />e::isting bond 1700 <br />amount needed 500 $500.00 <br />*Date payment is due-payment must be made in order for operation <br />plan to be aonr.oyed. <br />NOTE: Payments not received by the due date 6.Date Payment Due 7.Amount Due <br />are subject to a LATE PAYMENT CHARGE at the <br />rate currently published by the Department *May 22, 1942 $500.00 <br />of the Treasury unless a different rate is <br />prescribed by contract or a,¢reement. <br />8.Bi11 (lumber 9.Unit Number l0.Sub-Unit Number 11.Timber Sale Contract Plumber <br />r'--- _ T2-12 10 SOUTH PARK <br />F. '( - <br />12. P,emarks <br />Payments not received <br />by the due date also <br />may be subject to an <br />Administrative Charge <br />pursuant to the Debt <br />Collection Acc of 1932. <br />$35.00. <br />13. FOREST SERVICE ACCOUNTING DATA <br />TP,ANS. PL4CIAGEMENT OBJ.CLASS <br />CODE CODE FY YA7. SUB. AMOUNT <br />A 863517 92 $500.00 <br />14. TOTAL ------> $500.00 <br />(FORM)-FS 6500-B9a <br />