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LAKEWOOD, CO 80215 - " /U' /6 NO: 2bJJU2 / <br />Phone: (303) 239 -3600 <br />Transaction #: 2735909 RECORDS <br />Date of Transaction: 09/12/2012 UPD <br />CUSTOMER: — —635 <br />RICHARD W FRETTERD 82 <br />1065 WOODLAND AVE LOT 16 Fot�/ 3 481 <br />WOODLAND PARK,CO 80863 -9107 US – _______Assessme nt <br />AC e, 1 N Initials o <br />Date <br />L � E <br />Q <br />DESCRIPTION <br />REMARKS <br />[PRICE <br />TOTAL <br />CHECK <br />RECEIVED: 09/12/2012 <br />LOCATABLE MINERALS / MINING CLAIMS - <br />CHECK NO: <br />2007 <br />1 <br />1.00 <br />EW,UNADJUD, ONE OR MORE AUTH NOS / NEW <br />- n/a - <br />15.00 <br />MINING CLAIM PROCESSING FEE $15 <br />CASES: CMC284074/$15.00 <br />LOCATABLE MINERALS / MINING CLAIMS - <br />2 <br />100 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW <br />- n/a - <br />34.00 <br />MINING CLAIM LOCATION FEE $34 <br />CASES: CMC284074/$34.00 <br />JL <br />LOCATABLE MINERALS / MINING CLAIMS - <br />3 <br />1.00 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS 1 NEW <br />- n/a - <br />140.00 <br />MINING CLAIM MAINT FEE $140 <br />CASES: CMC284074/$140.00 <br />OVERPAYMENT / OVERPAYMENT OF FEES <br />6.00 <br />E]HIOVERPAYMENT <br />OF $1.00 OR MORE <br />- n/a - <br />TOTAL: <br />$195.00 <br />PAYMENT INFORMATION <br />1 <br />AMOUNT: <br />195.00 I I POSTMARKED: 09 /11 /2012 <br />�— TYPE: <br />CHECK <br />RECEIVED: 09/12/2012 <br />CHECK NO: <br />2007 <br />NAME: <br />FRETTERD, RICHARD W <br />1065 WOODLAND AVE LOT 16 <br />WOODLAND PARK CO 80863 -9107 US <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 <br />official electronic record contained therein. <br />