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. INITIAL RECEIPT
Receipt • • Page 1 of 1
United States Department of the Interior Bureau of Land Management Receipt
DIV OF LANDS, MINRLS & ENERGY ONE N CENTRAL A VE
PHOENIX, AZ 85004 -4427 No: 4728791 Phone:602-417-9200
Transaction #: 4854446 Date of Transaction: 04/27/2020
I CUSTOMER: I
D ARLEN VANDERPLOEG 750 NOLD COACH TRL DEWEY,AZ 86327-6304 US
1L•~11QTYII DESCRIPTION IIREMARKsll P1:~~ IIToTAtl
DB LOCATABLE MINERALS / MINING CLAIMS-
•EJG NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW MINING CLAIM PROCESSING FEE CASES: AMC459870/$20.00 DB LOCATABLE MINERALS / MINING CLAIMS-
•EJG I OO NEW,UNADJUD, ONE OR MORE AUTH NOS/ . NEW MINING CLAIMS LOCATION FEE
CASES: AMC459870/$40.00 DB LOCATABLE MINERALS/ MINING CLAIMS-
•EJB NEW,UNADJUD, ONE OR MORE AUTH NOS / LOO NEW MINING CLAIMS MAINTENANCE FEE
CASES: AMC459870/$165.00
I TOTAL:11 s22s.ooj
I PAYMENT INFORMATION I 1 AMOUNT:1~25.00 l~OSTMARKED:j1N1 A I
TYPE:IICHECK II RECEIVED:110412112020 I CHECK NO:l12o 1
NAME:I K-' ANDERPLOEG, ARLEN 750 N OLD COACH TRL DEWEY AZ 86327-6304 US
-I REMARKS I
-This receipt was generated by the automated BLM Collections and Billi g Syli&l:eii awa-: .. "resentation of a portion of the official electronic record contained therein. I
MAY O 5 2020 • I https:/ /ilmocop0ap93 3. blm.doi.net/ cgibin/cbsp/zorder 4/27/2020
TRANSFERS
CORRESPONDENCE
MAINTENANCE FEES
WAIVERS
POL/NOi
MISCELLANEOUS
LOCATION NOTICES
AMENDMENTS
STATUS SHEET
GEO REPORT/MTP
• • MINING CLAIM STATUS REPORT - Assessment Year 2020
Data Entered: ~ / S- /;. l-o MTP Checked By: ~ ff/1,P VI GEO Checked By: / ,zp'Yi>
LEAD SERIAL NUMBER: AMC
NUMBER OF CLAIMS & TYPE:
LODE ----PLACER
----
ASSOCIATION PLACER ----
----
TOTAL ACREAGE: (Placer Only)
MILL SITE
TUNNEL SITE
-------
NUMBER OF LOCATORS:
Per Claim
DOCUMENTS RECEIVED VIA: Over-the-Counter [ )
LEGAL DESCRIPTION:
I
thru AMC
CHARGES:
Processing Fee @ $20 == $
Location Fee @ $40 == $
Maintenance Fee @ $165 == $
Add ' I Ma int Fee for Assoc Placer== $
SUBTOTAL $
Other Fees $
Other Fees $
TOTAL $
Mail [ TIMELY FILED: Yes [ ] No [ I
SEC 80 T /"5N R ~ /k~- - --------------------T R SEC ---- ---- -----~--------------T R SEC ---- --------------------T R SEC ---- --------------------T R SEC ----
BLM [ ] FOREST SERVICE [ SUBJ TO PL 359 : Yes [ ]
WILDERNESS AREA [ ) -------------------------
SPLIT ESTATE: N/A [ ]
SRHA [
sx [ PX [ ) 0TH ER [ )
Was proper Notice filed if located on SHRA Land? Yes [ ) No[
RECONVEYED MINERALS ON BLM LAND REQUIRE OPENING ORDER FROM 1944 TO 1993:
Open to Entry On ________ N/A [ )
No[
COMMENTS/STATUS: VOID [
OTHER [
PARTIALLY VOID [ ] PVT MINERALS [ WITHDRAWN LANDS [ ]
[ ] Claimant acknowledges that portions of the following claim(s) site(s) may be void or voidable.
Printed Name of Claimant Signature of Claimant
********************FINAL ADJUDICATION********************
DATE INITIALS
l :t>
0 ..i= CJ1
...D co _J
c::>
•
LOCATION NOTICE FOR .LODE MINING CLAIM
• Amendment SLM Serial # --------
NOTICE IS HEREBY GIVEN that the ~\:3 jl., ~,nt
___________ lode mining claim has been located
by \\,..\q,_\J Q,"£-Att.,< \?) 0 o ~ whose current mailing
address is / $ o C) I~ C..~9,,c..\.. "T ~ \
•
BLM Date Stamp
\J ct~'-'t ':\?. 9, 6~d7 The general course of this claim is ~q__~ -\-~ <i.~~ and it is situated in ~ (>,. \:> S\ ~Sl,· 1
County, Arizona. This claim is '-\5 S' feet in length and ~ ~ 6 feet in width.
':\ Total Claim Acreage. This claim runs from the location monument on which this location notice
is posted on. the centerline of the claim approximately "'\ 'S' S feet in _ a ~(\ sl" direction to the ~ ~. ?:\ end line and '.:)..S- b feet in a So~"'- direction to the $.{;')~\, end line. This claim is marked by six
monuments, one at each comer and one at the center of each end line of the claim.
The location monument o~ which this notice is posted is situated within Section ~ C::, , Township ·,') N ___ . , Range _Q_J__ J; , Gila Salt River Base and Meridian, Arizona and this claim encompasses portions
of the following quarter section(s), section(s), Township(s) and Range(s) ~ o c-1:hw o ?l ~,, ~t, r
<::::,~ 5"6, <:,o ~C) -Yo',,))oSh•-:f \3 ~ · Ro."'&"w C>) S: Gila Salt River Base and Meridian, Arizona.
The locality of this claim with reference to some natural object or permanent monument and additional information
(if any) concerning its locality are as follows: \ 1::>, ~ · 1 oh X'V\~ .c-'\.s.c- i s \ -3 L..j S-1
~ <;) v.:\ ~ ~'C'"O'M N '<:>:e\"''->:)·Q.~ cs:»c'<'<. c C)s 5$.c.."1'. ()ri ~a ~ ~ ~ m C&> ~
. . \ {1
~\.. The above information is shown on I att~ed ~t DATED AND POSTED on the ground this _._7>-=--- day of S'S\ o.. :cc\..__ , 20 ~- ~ ~ ~ ~
• LOCATOR(s) • AGENT j )> ; I :::.~::(:~•)~=~~~ ·, :: i
~ Form MCFlOO Revised Oct 2018
This form is available from the Arizona Geological Survey and may be reproduced.
· O
..
'-'
•
- --~ -MINJ.NG CLAIM MAP
1. mi.le
•
Lode {X) Placer ( ) Millsite ( )
-·-·-·- ·- ·-·-·-·--·- ·--·-·-· --·-·-,c--=-=~=- ·---------1-·-·- ·-·-·- -·-·--·- ·-·-·-·-·-·-·-·-·-·-·-·-
.! ·-E
I
' •
' . ..., --- --------- ~ - - I ------ ~ --_ .. _ -----I
SW . SE
:!1
~ ?Q,-~. -0 ' ..... - ' CD • C . lJit s-t Cf). "r> •
~, ,, )>
. I ;:: · q
. ~ ' .r= I,"")
-·-·-·-·-·-·-·-·-·-·-----··---------------------1;------'~- :~~;. -·-·---·-
; ~, ' CC, G:il "' """I
- ••r-i
, r :J ~-Scale: 1 • = 2000 feet
1. The above ma_p depicts the ,4 ,J., J"' f)J ; Ji 'C, 7J.; mining claim~ which is located in Section (s)
\ 3 ..... M_.___, Range C ') -~----0 ___ , Township
-~Y~9 ..... U'""g--ip,._.1t ... '1...._ ___ County, Arizona. Total claim acreage is
2. The type of com~r and 1ocation monuments used are as follows:
, Gila and Salt River Base and Meridian, :E // ' 0 ""L er c r .e.s -:-
2, '' 1!::J /I e. e q j!f€1 -g- ~ a:> ~..J /q U O th c -:f le, ( L'f. hq c: . __J
3. The· bearings ~nd distances in d~grees and feet between claim comers and to.a public land survey monumenP
are as depicted on the map.
4. If the claim is a placer or millsite claim with exterior limits confonning to legal subdMsions of the public survey,
provide a legal description of the claim · ~ ~ :;\\, \N~ ~ , '4c \"''\ 9) ~ 5g, Cc :S Q
F~rm MCFlOOa Revised Oct 2018
This fonn is available from. the Arizona ~logy Survey and may be reproduced.
• • ,.
-Recorded at the request of:
When Recorded,.MAIL TO:
• 2020-0015719 NML 03/20/2020 ~9:32:03 AM Page : 1 of 3 Leslie M. Hoffman . OFFICIAL RECORDS OF YAVAPAI COUNTY $30 . 00 ARLEN VANDERPLOEG
. . , I
1111 WJ~ .. ,)~ l#D, l,A'h,H u'" ~·,:a r J'~~Krl•l1 J, r~i\i 11111
1-.
'
I
jj
'.' -~~~ ,,. 1
'
Date and Time Run: 5/5/2020 11 :00:35 AM
,•, ~ 1_ ~ ~ .. -:: .. --=: - .-._"':,_~.
Geographic Report with Land
DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT
Case Recordation
Disposition is equal to AUTHORIZED ' CANCELLED ' EXPIRED ' PENDING ' REJECTED' RELINQUISHED' WITHDRAWN
and Meridian Township Range Section is equal to 14 0130N 0010E 030
and Admin State is equal to AZ
NO WARRANTY IS MADE BY BLM FOR USE OF THE DATA FOR
PURPOSES NOT INTENDED BY BLM
Page 1 of 1
-
-
Date and Time Run: 5/5/2020 11 :00:06 AM
Admln State: AZ. Geo State: AZ.
Serial Number Total ca .. Acres:
.Cuetypo
AZA 036221 1 .000 : 380913
~~ J .I, ·~. •· ,.
,,Twp
PENDING 0130N
DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT
Can Recordatlon Geographic Report with Land
Rng Soc
0010E 030
NO WARRANTY IS MADE BY BLM FOR USE OF THE DATA FOR
PURPOSES NOT INTENDED BY BLM
Surl\lpo Sur Nr
FF
Suf Subdivision
NE(PART);
Act Pend ?.,,.
Page 1 of 1
-
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