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Keceipt <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 <br />No: <br />Page I of 1 <br />Receipt <br />2776775 <br />(Transaction #: 2861 160 <br />Date of Transaction: 04/18/2013 77 <br />LINE <br />2 <br />CUSTOMER: <br />JEAN COWMAN <br />1065 WOODLAND AVE LOT I <br />WOODLAND PARK,CO 80863 -9107 US <br />FQT Y <br />J <br />DESCRIPTION <br />REMARKS <br />UNIT <br />PRICE <br />TOTAL <br />LOCATABLE MINERALS / MINING CLAIMS - <br />1.00 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />NEW MINING CLAIM PROCESSING FEE $15 <br />- n/a - <br />15.00 <br />CASES: CMC285097 /$15.00 <br />LOCATABLE MINERALS / MINING CLAIMS - <br />1.00 <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />NEW MINING CLAIM LOCATION FEE $34 <br />- n/a - <br />34.0() <br />CASES: CMC285097/$34.00 <br />LUI-A I ABLE MINERALS / MINING CLAIMS - <br />NEW,UNADJUD, ONE OR MORE AUTH NOS / <br />3 1.00 NEW MINING CLAIM MAINT FEE $140 <br />CASES: CMC285097/$140.00 <br />- n/a - II 140.00 <br />TOTAL:II $189.00 <br />REMARKS <br />This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion <br />of the official electronic record contained therein. <br />http:// cbs.blm.gov /cgibin/cbspi,,j,rder -1 /� <br />4 18 013 <br />