GPO Jacket No. 560-102 Job=AZ15 5/10/2019

NOTICE!!

These documents have been scanned!

Do not place un-scanned documents beneath this notice!

Do not remove this notice from this file!

GPO Jacket No. 560-102 Print Order 61540

Rise Business Services, LLC Job=AZ15 5 /1 0 /2 0 1 9

Box Number= AZ15031

Claim Begin-End: AMC429662-AMC429663

1 Initial Receipt

AZ15031-20 AMC429540-AMC429995

AZ15031

AMC429662-AMC429663

BREAK

AMC# DATE CLOSED REMARKS

y ( ^ ° i (o fa

i........... ........................................................... ..... ...............................................................

f-------------------------------------

, ____________________________________ l

.. ....... — ........- * 1 ' ....... ................1 . . . . -------------------------------------------------------------------------------------- -

_______________________________ __ !..... — ---------------------------------------------------------------- - ......... ............................1

NO WARRANTY IS MADE BY BLM FOR USE OF THE DATA FOR

PURPOSES NOT INTENDED BY BLM

of 2

United States Department of thè InteriorBureau of Land Management Receipt

LANDS/RECREATION & PLANNING ONE N CENTRAL AVE

PHOENIX, AZ 85004 -2203 • Ny: 3164646Phone: 602-417-9200

Transaction #: 3257271 Date of Transaction: 11/07/2014

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CUSTOMER:RICHARD S LAUGHLINPO BOX 111MORRISTOWN,AZ 85342-0111 US

LINE# QTY DESCRIPTION REMARKS

UNITPRICE TOTAL

1 2.00LOCATABLE MINERALS / MINING CLAIMS- NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW MINING CLAIMS LOCATION FEE CASES: AMC429662/$37.00, AMC429663/$37.00

- n/a - 74.00

2 2.00LOCATABLE MINERALS / MINING CLAIMS- NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW MINING CLAIM PROCESSING FEE CASES: AMC429662/$20.00, AMC429663/$20.00

- n/a - 40.00

3 2.00LOCATABLE MINERALS / MINING CLAIMS- NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW MINING CLAIMS MAINTENANCE FEE CASES: AMC429662/$ 155.00, AMC429663/$155.00

- n/a - 310.00

TOTAL: $424.00

PAYMENT INFORMATION1 AMOUNT: 212.00 POSTMARKED: N/A

TYPE: CHECK RECEIVED: 11/06/2014CHECK NO: 1122

NAME: LAUGHLIN, RICHARD S 3296 HARDEE AVE CHAMBLEE AZ 30341 US

2 AMOUNT: 212.00 POSTMARKED: N/ATYPE: CHECK RECEIVED: 11/06/2014

CHECK NO: 1125NAME: LAUGHLIN, RICHARD S

3296 HARDEE AVE CHAMBLEE AZ 30341 US

11/7/14

of 2

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion of the official electronic record contained therein.

11/7/14

NOTICE!!






Box Number= AZ15031


2 Correspondence

AZ15031-20 AMC429540-AMC429995

AZ15031

AMC429662-AMC429663

BREAK

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1 States Department ôf ï Interioî*BUREAU OF lJ nD MANAGEMENT

Arizona State Office One North Central Avenue, Suite 800

Phoenix, Arizona 85004-4427 www.blm.gov/az/

■A '■ /.ÜiC

In Reply Refer To:3830 (9200) PB AMC429662

CERTIFIED MAIL - RETURN RECEIPT REQUESTED No. 9214 8901 9403 8376 3565 74

DECISION

TOMMIE WHEELER : This decision affects those claims3320 E UNIVERSITY DR : shown in the block below.MESA, AZ 85213-8670 :

AMC429663AGPC-9

MINING CLAIMS DECLARED FORFEITED

The mining claims listed above have been declared forfeited as of September 1,2018, for failure to timely file the required maintenance fee payment or small miner’s maintenance fee waiver (waiver).

Claimants are required to pay an annual non-refundable maintenance fee of SI 55 per 20 acres or portion thereof, or submit a waiver, on or before September 1 of each year. These requirements were established by 30 U.S.C. 28f-l, as amended, and 43 CFR 3834 and 3835.

Our records do not show receipt of a maintenance fee payment or small miner waiver filed on or before the due date. Therefore, the claims listed above are forfeited.

Reclamation Requirements

This decision does not relieve you of the liability for reclamation of all areas disturbed by your activities on lands covered by the subject mining claim(s) and/or site(s). After you complete the reclamation, you must notify the authorized officer of the appropriate surface managing agency so that the authorized officer may conduct a final site inspection and determine whether you may be released from liability. If you fail to reclaim the land to the satisfaction of the authorized

http://www.blm.gov/az/

officer, the surface management agency maV cite you for noncompliance under its surface management regulations. For land administered by the Bureau of Land Management (BLM), if you fail to reclaim the land to the satisfaction of the authorized officer as required in 43 CFR Subpart 3809, the BLM will issue an order of noncompliance under 43 CFR 3809.601(a). If you fail to comply with the non-compliance order, BLM may take further action under 43 CFR 3809.604. Failure to conduct reclamation is a prohibited act that may subject you to criminal penalties. See 43 CFR 3809.605(h) and 43 CFR. 3809.700.

This decision may be appealed to the Interior Board of Land Appeals, Office of the Secretary, in accordance with the regulations contained in 43 CFR, Part 4, and the enclosed Form 1842-1. If an appeal is taken, your notice of appeal must be filed in this office (at the above address) within 30 days from receipt of this decision. The appellant has the burden of showing that the decision appealed from is in error.

If you wish to file a petition pursuant to regulation 43 CFR 4.21 (58 FR 4939, January 19, 1993) tor a stay of the effectiveness of this decision during the time that your appeal is being reviewed by the Board, the petition for a stay must accompany your notice of appeal. A petition for a stay is required to show sufficient justification based on the standards listed below. Copies of the notice of appeal and petition for a stay must also be submitted to each party named in this decision and to the Interior Board of Land Appeals and to the appropriate Office of the Solicitor (see 43 CFR 4.413) at the same time the original documents are filed with this office. If you request a stay, you have the burden of proof to demonstrate that a stay should be granted.

Except as otherwise provided by law or other pertinent regulation, a petition for a stay of a decision pending appeal shall show sufficient justification based on the following standards:

( 1 ) The relative harm to the parties if the stay is granted or denied,(2) The likelihood of the appellant's success on the merits,(3) The likelihood of immediate and irreparable harm if the stay is not granted, and(4) Whether the public interest favors granting the stay.

Please include your AMC serial number(s) on all correspondence. If additional information is required, please call Pauline Brown at 602-417-9360.

Appeal Procedures

Standards for Obtaining a Stay

Lucas LuceroDeputy State DirectorLands, Minerals, and Energy Division

Enclosure

U NITED STATES POSTAL SERVICE t

DATE PRODUCED: 1/14/2019 4:21 PM

US DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT:

The following is information for Certified Mail™/RRE item number: 9214 8901 9403 8376 3565 74

Our records indicate that this item was RETURNED TO SENDER.

ORIGINAL INTENDED RECIPIENT:TOMMIE WHEELER 3320 E UNIVERSITY DR MESA AZ 85213-8670

The above information represents information provided by the United States Postal Service.

Return Reference Number:

NOTICE!!






Box Number= AZ15031


3 Transfers

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OFFICIAL RECORDS OF IARICOPA COUNTY RECORDER

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KIOSK RECORDING1 0 5 9 1 9 7 -2 -3 -1 ram irezj

QUIT CLAIM DEED

DO NOT REMOVE

This is part of the official document

RFCETIVFOCL ' ' r "■’„■! re.-

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PhC-Lli-.'X. ARIZONA

QUIT CLAIM DEED

The undersigned grantor(s), fo r valuable consideration, receipt o f which is hereby acknowledged, in the am ount o f $10.00, o r o ther values, do we hereby remise, release and forever q u it claim to the fo llow ing described property in th ^ c o u n ty o f ,

o f _ M ining Claim known as ,stateSectionTownship 4 A / Range , \ I I /

Section(s) f jJ z jiJ fc r ,____ Claim ft

___ Address:

C ity :___ State:

32 2 Zip:

TRANSFER FEE EXEMPT PER ARS 11-1134-AÔ

OWNER

7 day o f AA êCÇtn , 20 L(rt. personally appeared before me, a NotaryOn thePublic in and fo r the above state and county,

Cshgr-ci jR A 1/n____________ _, known to me or proved to be theperson(s) named in and who executed the foregoing instrum ent, and being firs t duly sworn, such person acknowledged th a t he or she executed said instrum ent fo r the purpose therein contained as his or her free and vo luntary act and deed.

NOTARY PUBLIC

R\J BY E J CAN O £EK j Notary Public - State of Arizona !

MARICOPA COUNTY |7 / My Commission Gxoires (

•-jr.-o. SOTO !

M y Commission Expires p O ^ O

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U nited States D epartm ent o f the Interior B ureau o f Land M anagem ent

DIV OF LANDS, MINRLS & ENERGY ONE N CENTRAL AVE

Receipt

PHOENIX, AZ 85004 -4427 Phone: 602-417-9200

No: 3723505

Transaction #: 3828673Date of Transaction: 12/15/2016___________________

CUSTOMER:IIr ic h a r d s l a u g h l inPO BOX 111MORRISTOWN,AZ 85342-0111 US____________

LINE# QTY DESCRIPTION REMARKS UNIT

PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMSNOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVED CASES: AMC429663/S 10.00

QCD - 1 - n/a - 10.00

T O T A L : $10.00

PAYMENT INFORMATION1 AMOUNT: 10.00 POSTMARKED: 12/09/2016


NAME: LAUGHLIN, RICHARD STANLEY PO BOX 111MORRISTOWN AZ 85342-0111 US

REMARKS


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Box Number= AZ15031


4 Annual Filings

AZ15031-20 AMC429540-AMC429995

AZ15031

AMC429662-AMC429663

BREAK

Form 3830-2 (October 2013)

UNITED STATESDEPARTMENT OF THE INTERIOR

BUREAU OF LAND MANAGEMENT

MAINTENANCE FEE WAIVER CERTIFICATION

SEE INSTRUCTIONS ON PAGE 2

FORM APPROVED OMBNO. 1004-0114

Expires: October 31,2016

1 This small m iner waiver is filed for the assessm ent year beginning on Septem ber 1, 2018 and ending on Septem ber 1. 20192. The undersigned and all related parties owned ten or fewer m ining claims , mill, or tunnel sites located and maintained on Federal lands in the United States

o f Am erica on Septem ber 1, 20181 The undersigned have perform ed the assessm ent work required by law for each m ining claim listed prior to filing this waiver and understand that by filing this torm,

the undersigned m ust file an affidavit o f assessm ent work with the Bureau o f Land M anagem ent (BLM ) by the December 30th follow ing the filing o f this waiver.4. The undersigned understand that if the assessm ent work obligation has not yet come due under 30 U.S.C. 28 (for those claim s in their first assessm ent year only),

a notice o f intent to hold reciting this condition m ust be recorded by the D ecem ber 30th follow ing the filing o f this waiver.5 The undersigned understand that mill and tunnel sites m ay also be listed on this waiver and be waived from paym ent o f the m aintenance fee, and that a notice o f

intent to hold for these sites is required to be filed with the BLM by the December 30th follow ing the filing o f this waiver.6. The undersigned understand and acknow ledge that pursuant to 43 U.S.C. 1212 and 18 U .S.C. 1001, the filing or recording of a false, fictitious, or fraudulent

docum ent with the BLM m ay result in a fine o f up to $250,000, a prison term not to exceed five years, or both.7. The m ining claims, mill or tunnel sites for which this w aiver from paym ent o f the m aintenance fees is requested are:

CLAIM OR SITE NAME \ BLM RECORDATION SERIAL NUMBER ______________ /. ^ ------------------------------l. AG PC-8 AMC429662 C T l ^

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The ow ner(s) (claim ants) o f the above m ining claim s and sites are:

RICHARD S. LAUGHLIN

(O w ner's N am e - Please Print) (O w ner'iÆ ignature)

PO BOX 111 MORRISTOWN A Z 85342

(O w ner's M ailing Address) (City) (State) (Zip Code)

(O w ner's N am e - Please Print) (O w ner's Signature)


(O w ner's Nam e - Please Print) (O w ner’s Signature)


1

Form *3830-2 (October 2013)

\ \ X \ ' V u ^ c ;

Lin i 'ED STATESDEPARTMENT OF THE INTERIOR




FORM APPROVED OMB NO. 1004-0114


1. This small m iner waiver is filed for the assessm ent year beginning on Septem ber 1, 2018 and ending on Septem ber 1, 20192. The undersigned and all related parties owned ten or fewer m ining c la im s . m ill, or tunnel sites located and m aintained on Federal lands in the United States

o f Am erica on Septem ber 1. 2 0 1 8 __ ■3. The undersigned have perform ed the assessm ent work required by law for each m ining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned m ust file an affidavit o f assessm ent w ork with the Bureau o f Land M anagem ent (BLM ) by the December 30th follow ing the filing o f this waiver.4. The undersigned understand that if the assessm ent work obligation has not yet come due under 30 U.S.C. 28 (for those claim s in their first assessm ent year only),

a notice o f intent to hold reciting this condition m ust be recorded by the December 30th follow ing the filing o t this waiver.5. The undersigned understand that mill and tunnel sites m ay also be listed on this waiver and be waived from paym ent o f the m aintenance fee, and that a notice o f

intent to hold for these sites is required to be filed with the BLM by the Decem ber 30th follow ing the filing o f this waiver.6. The undersigned understand and acknow ledge that pursuant to 43 U .S.C 1212 and 18 U.S.C. 1001. the filing or recording o f a false, fictitious, or fraudulent

docum ent with the BLM m ay result in a fine o f up to $250,000, a prison term not to exceed five years, or both.7. The m ining claims, mill or tunnel sites for which this w aiver from paym ent o f the m aintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER

1 AGPC-8 AMC429662 V ' \ \

2. r3. _________________ 5 ____a jg ____________4. O S 5

5. Z Cg N 3 3

6. 1 ' J o________________ ______ JT___ T .ra ___________

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9. — Z w Hi-________________> ____Q ___________________

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The owner(s) (claim ants) o f the above m ining claim s and sites are:

RICHARD S. LAUGHLIN

(O w ner’s N am e - Please Print) (Owner'sJjTgnalure)

PO BOX 111 MORRISTOWN AZ 85342

(O w ner’s M ailing Address) (City) (State) (Zip Code)

(O w ner’s N am e - Please Print) (O w ner’s Signature)






(Continued on page 2)

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Form 3830-2 (January 2017)

IITED STATES DEPARTMENT OF THE INTERIOR



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fo r m Appro v edOMB NO. 1004-0114

Expires: January 31,2020

This small m iner waiver is filed for the assessment year beginning on September l , '*/ A. 'J. it and ending on Septem ber 1, T T J7 7

The undersigned and all related parties,ow ned ten or few er mining c la im s, mill, or tunnel sites located and m aintained on Federal lands in the United States o f A m erica on September 1 -The undersigned have perform ed the assessment w ork required by law for each m ining claim listed prior to filing this waiver and understand that by filing this form, the undersigned must file an affidavit o f assessment w ork with the Bureau o f Land M anagem ent (BLM) by the December 30th following the filing o f this waiver. The undersigned understand that i f the assessment w ork obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessm ent year only), a notice o f intent to hold reciting this condition m ust be recorded by the December 30th following the filing o f this w aiverThe undersigned understand that mill and tunnel sites may also be listed on this w aiver and be waived from paym ent o f the maintenance fee, and that a notice o f intent to hold for these sites is required to be filed w ith the BLM by the December 30th following the filing o f this waiver.The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording o f a false, fictitious, or fraudulent docum ent with the BLM may result in a fine o f up to $250,000, a prison term not to exceed five years, or both.The m ining claims, mill or tunnel sites for which this waiv er from payment o f the m aintenance fees is requested are:


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The owner(s) (claimants) o f the above m ining claims and sites are:

< u ) i f c - / / j j /(Owne

> 4 ^ / 7 /

(O w ner’s Nam e - Please Print)

(O w ner’s M ailing Address)

(O w ner’s Nam e - Please Print) (O w ner’s Signature)


(O w ner’s Name - Please Print) (O w ner's Signature)


(O w ner’s Name - Please Print) (O w ner’s Signature)

(O w ner’s Mailing Address) (City) (State) (Zip Code)


(O w ner's N am e - Please Print) (O w ner’s Signature)


(O w ner's Nam e - Please Print) (O w ner's Signature)


(O w ner’s N am e - Please Print) (O w ner's Signature)

(O w ner’s M ailing Address) (City) (State) (/ ip Code)

(Otvner’s N am e - Please Print)

1 V(O w ner’s Signature)


18 U .S.C . 1001 and 43 U .S.C . 1212 m ake it a crim e for any p erson know ingly and w illfu lly to m ake to any departm ent or agency o f the U n ited States any false, fictitious o r fraudulent s ta te m e n ts o r represen tations as to any m atter w ithin its ju risd ic tion ._______

IN STR U C TIO N S1. This certification is m ade u nder the provisions o f 43 U .S .C . § 1744 and 30 U .S.C . §28-28k and the regu lations thereunder (43 CTR P art 3830).2. The cla im ant(s) m ust fill in the dates in paragraph 1 for the beg inn ing and ending o f the assessm ent year for w h ich th is w aiver is sought.3. fhe cla im ant(s) m ust fill in the date in paragraph 2 for the beg inn ing o f the assessm en t year for w hich th is w aiver is sought.4. All claim an d site nam es and B L M serial num bers m ust be listed for the m ining claim s, mill sites, and tunnel sites for w hich the w a iv e r is sought.5. All ow ners o f the m in ing claim s, m ill sites, and tunnel s ites and their addresses m u st be given.6. This w aiver form m ust be s ig n ed by all the claim ants o r th e ir designated agent, in orig inal form. I f an agent is designated , a no tarized d esignation o f

agent, signed by all o f the c la im an ts w ith proper address g iven , m ust be subm itted w ith this waiver.7. This form m u st be filed no la te r th an Septem ber 1st for the upcom ing assessm ent y ea r in the BLM State O ffice w here the m in ing c la im s o r sites are

recorded, o r the w aiver cannot be g ran ted by the BLM . (E xam ple: To obtain a w a iv e r for the assessm ent year 2012. w hich beg ins on S ep tem b er 1 .2011, you m ust qualify for and file fo r a w aiv er no later than S ep tem b er 1, 2011, in the p roper BLM State O ffice.)

8. For all m in ing claim s w hich requ ire assessm ent w ork, y o u m u st record an affidavit o f labor on or before the D ecem ber 30th im m ed ia te ly follow ing the filing o f th is w aiver. For all o th e r m in ing claim s or sites w aived , you m ust record a notice o f intent to ho ld on o r before the D ecem ber 30 th immediately fo llow ing th e filing o f this w aiver.

9. M ill and tunnel sites m ay also be listed on this w aiver and be w aived from paym en t o f the m aintenance fee. A notice o f intent to hold fo r these sites is required to be filed by the D ecem b er 30th follow ing the filing o f this waiver.

FOR OFFICIAL USE ONLY

(Continued on page 3) (Form 3830-2, page 2)

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^FICIAL RECORDS OF MARICOPA COUNTY RECORDER

ADRIAN FONTES2 0 1 8 0 6 1 9 5 2 9 0 8 /1 5 /2 0 1 8 0 1 :5 9

KIOSK RECORDING

0 8 4 8 4 2 8 -3 -2 -1h e rn a n d eze


DO NOT REMOVE

This is part o f the official document

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When Recorded Return Document to: RICHARD S. LAUGHLIN

PO BOX 111____________

MORRISTOWN, A2 85342

□ Check here is this is a change of address.

Telephone: 770-630-8828_________________

E-mail address: [email protected]

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK

1. State of Arizona, County of M ARICOPA__________

2. I (Name) R ICHARD S. LAUGHLIN___________

ss:

3. Reside at (Address) PO BOX 111

C ity M O RRISTO W N County M ARICOPA

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__being duly sworn, depose and say that I am a citizen of the United StaTsi, mbYe thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and correct according to the best of my knowledge, information and belief.4. Owner’s name and address (If not shown in Items 1-3 above). SEE ABOVE____________________________

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at the expense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the

SAN DO M ING O______ (optional) Mining District; M ARICOPA County, Arizona.

LineNo.

AMCNUMBER CLAIM/SITE NAME COUNTY RECORDER

DATA (If available) TWP RNG SEC

1 A M C429662 AGPC-8 2014-0647443 7N 3W 30

2

3

4

5

6

Form: MCF108Revised July 2014

Page 1 o f2

mailto:[email protected]

. AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK - page 2

6. That between the dates starting at 12 o’clock noon on September 1, 20 17 and ending at 12 o’clock noon onSeptember 1, 2018__ at least $ 300.00__________ dollars worth of work and improvements were done and performedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside of a contiguous group of claims for the benefit of all, not including the location work.

7. That the following persons were employed to perform the work and improvements described herein:____________

RICHARD S. LAUGHLIN, BRETT S. LAUGHLIN

8. That the work and improvements performed were: HAND EXCAVATED SEVERAL BENCH AREAS TO TEST

THEN FILLED IN TEST TRENCHES. ALSO FILLED IN SEVERAL W ASHED O UT A R E ^S ON TH E AC CESS ROAD

REPLACED M ISSING CO R N ER MARKER

9. Dated: ignature:

SUBSCRIBED AND SWORN TO before me, a Notary Public, this

By:. C d o s i £

Notary Public__

My Commission Expires

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Bureau of Land Management . . . . . Arizona State Office ¿ A # '',w *>lm3° v;az

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No. of Claims: x $10 =Check No.: {nit.Receipt No.: A f n 7 9 7 2 £ 5 CFor BLM Use Only


Page 2 o f2

This form is available from the Arizona Geological Survey and may be reproduced.

TFICIAL RECORDS OF MARICOPA COUNTY RECORDER

ADRIAN FONTES2 0 1 8 0 6 1 9 5 3 0 0 8 /1 5 /2 0 1 8 0 1 :5 9

KIOSK RECORDING

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Receipt Page 1 of 1

United States Department of the Interior Bureau of Land Management


Receipt

PHOENIX, AZ 85004 -4427 Phone: 602-417-9200

No: 4242722

Transaction #: 4358152Date of Transaction: 08/23/2018 __________________

CUSTOMER:llRICHARD S LAUGHLIN PO BOX 111MORRISTOWN,AZ 85342-0111 US____________


PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMSNOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVED CASES: AMC429662/$ 10.00

POL 2018/1 WAV - n/a - 10.00

TOTAL: $10.00


TYPE: CHECK RECEIVED: 08/21/2018

CHECK NO: 165NAME: LAUGHLIN, RICHARD S

PO BOX 111MORRISTOWN AZ 85342-0111 US

REMARKS


https://ilmocop0ap933.blm.doi.net/cgibin/cbsp/zorder 8/23/2018

https://ilmocop0ap933.blm.doi.net/cgibin/cbsp/zorder

When Recorded Return Document to: RICHARD S. LAUGHLIN

PO BOX 111____________MORRISTOWN, AZ 85342


Telephone: 770-630-8828________________

E-mail address: [email protected]


1. State of Arizona, County of MARICOPA__________

2 . 1 (Name)

ss:

RICHARD S. LAUGHLIN

3. Reside at (Address) PO BOX 111

City MORRISTOW N County MARICOPA

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State AZ z ip 85342_______being duly sworn, depose and say that I am a citizen of the UnitectStatdy more.thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provision^and paaaltiesof 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true^and correct according to the best of my knowledge, information and belief.4. Owner’s name and address (If not shown in Items 1-3 above). SEE above ________________________


SAN DOMINGO (optional) Mining District; MARICOPA_________________ County, Arizona.

LineNo.



1 AMC429662 AGPC-8 7N 3W 30

2

3

4

5

6


Page 1 o f2

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AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK - page 2

7. That the following persons were employed to perform the work and improvements described herein:

RICHARD S. LAUGHLIN, BRETT S. LAUGHLIN

8. That the work and improvements performed were: GENERAL PROSPECTING AND ROAD MAINTENANCE

9. Dated: / b / / ‘O Signature: <

SUBSCRIBED AND SWORN TO before me, a Notary Public, this '

By:.

Notary PublicT Ü '

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My Commission Expires

Bureau of Land Management Arizona State Officevww.blm.aov/az

No. o f Claim s: x $ J 0 ap j

Check No.: Init.

R eceipt No.: ¿ ~ j f ) <^)

For BLM Use Only


Page 2 o f2This form is available from the Arizona Geological Survey and may be reproduced.

OFFICIAL RECORDS OF MARICOPA COUNTY RECORDER

ADRIAN FONTES20 1 7 0 8 5 0 1 9 1 1 1 /1 5 /2 0 1 7 0 3 :5 9

KIOSK RECORDING1 0 4 7 3 8 4 -3 -1 -1c a s t i l l o e

a f f i d a v i t o f p e r f o r m a n c e o f a n n u a l w o r k

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Receipt Page 1 of 1



Receipt

PHOENIX, AZ 85004 -4427 Phone: 602-417-9200

No: 4047313

Transaction #: 4158713Date of Transaction: 12/21/2017____________________

CUSTOMER:IIr ic h a r d S LAUGHLIN PO BOX 111MORRISTOWN,AZ 85342-0111 US____________


PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMSNOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVED CASES: AMC429662/S 10.00

POL 2017/1 - n/a - 10.00

TOTAL: $10.00



NAME: LAUGHLIN, RICHARD S PO BOX 111MORRISTOWN AZ 85342-0111 US

REMARKS




H M [q L S v

5 f as° n f° r filin9 a Notice of Intent to Hold insteed of an assessment work filing (check one)- 5 § J S'in Maintenance fee was paid to maintain claim(s) during this assessment year. ==U Mill or tunnel sites. ’ m□ Claim(s) was located during the current assessment year. : > 1 • <

0 n b ™ 8 ??**■"!? aSf ? sment work <attach “ Py <* decision granting deferment, or pencil petitQn foS 3 deferment including date petition was filed.) " ? ,° TT

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Page I of 2

OLT 19 21

NOTICE OF INTENTION TO O MINING CLAIMS/SITES page 2

1. State of Arizona, County of / .n p c ._________

2 . 1 ( N a m e ) ^ __r A r s ' ______________________

3. Reside at (Address) 3 3 2 (S

ÜLMDateStamp

City a ___________ County mnsirnpe* State fi-*: Zip ¿K*71l~>, being duly sworn, depose andsay that I am a citizen of the United States, mofo than eighteen years of age, that all of the facts set forth in this notice, subject to the provisions and penalties of 18 U .S .C -10Ot pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and correct according to the best of my knowledge* information and belief.

4. Owner’s name and address (If not shown in Items 1-3 above).

5. Dated; 7 Signature:

Bureau of Land Management Arizona Stata Office/www.blm.Qov/az

LU C3 j r r n

Form: MCF110 Revised July 2014

Page 2 of 2


http://www.blm.Qov/az

When Recorded Return Di lent to:- / /'< l J ____________________

^ 5 1 0 F- t A i u i u / ^ / ^ w _________________ _


Telephone:___

E-mail address:


1. State of Arizona, County of

2 .1 (Nam e)__/ OnnAur UJ l \ 1+

ss:

3. Reside at (Address)

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State ^ Z i p 3 .h J \3 >— being duly sworn, depose and say that I am a citizen of the UnitedjStafes^noreTbanu t r ^ n n ^ i f J 8’ f “V i1? fat? Setfortl1 in this affidavit- subject to the provisions and pennies o*18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and conect according to the best of my knowledge, information and belief.4. Owner’s name and address (If not shown in Items 1-3 above).______________________________

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at the expense of the owners) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the

(optional) Mining District;___ M c j r l r s p c » _____________County, Arizona.

LineNo.


DATA (If available) TWP RNQ SEC

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2

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AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK - page 2

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6. Thai between the dates starting at 12 o’clock noon on September 1 ,20 I L and ending at 12 o’clockmoon onSeptember 1, 20 I 7 at least $ / D^>_______ dollars worth of work and improvements were done and performedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of ail, wholly or partly outside of a contiguous group of claims for the benefit of all, not including the location work,

7. That the following persons were employed to perform the work and improvements described herein:____________

^ _____ _____________________________________________________________________

8. That the work and improvements performed were: Rru<;k Zp > s of______

9. Dated: Signature:r y

SUBSCRIBED AND SWORN TO before me, a Notary Public, this day of / f in j ■ 20 I 7

By: / * t_¿Lep. 1IU - 3 t* u / 3E-

Notary Public_________

My Commission Expires ? -0 7^ 0

CHRISTIANA. ARMENIAMo*«t P u m o - S te le <* A r t » *

MMVCOM COUNTY MfComt GetwAu» 7.20»

Bureau of Land Management Arizona State Office.vww.blm.aov/az

No. of Claims: / X $ 1 0 =s

Check No.: / ( j / ^ / W ( JReceipt No.:F o r BLM Use Only


Page 2 of 2


Return of Remittance Form Page 1 of 1

UNITED STATESDEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT

ONE N CENTRAL AVE, PHOENIX, AZ 85004-4427 Phone: (602)417-9200

NOTICE OF RETURN OF REMITTANCE

DATE : 09/06/2017 No: 56411

TOMMIE WHEELER

Check Number191

Amount Reference No10.00

Your Remittance(s) listed above is/are returned because of the following reason:

THIS REMITTANCE HAS NOT BEEN SIGNED BY THE MAKER. PLEASE SIGN AND RETURN PROMPTLY TO THIS OFFICE.

Remarks: CHECK #191 IS NOT SIGNED

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Return o f Remittance Form Page 1 of 1

UNITED STATESDEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT

ONE N CENTRAL AVE, PHOENIX, AZ 85004-4427 Phone: (602)417-9200

NOTICE OF RETURN OF REMITTANCE

DATE : 09/06/2017 No : 56412

TOMMIE WHEELER

Check Number192

Amount Reference No10.00

Your Remittance(s) listed above is/are returned because of the following reason:

THIS REMITTANCE HAS NOT BEEN SIGNED BY THE MAKER. PLEASE SIGN AND RETURN PROMPTLY TO THIS OFFICE.

Remarks: CHECK #192 IS NOT SIGNED

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Receipt

PHOENIX, AZ 85004 -4427 Phone: 602-417-9200

No: 3998630


CUSTOMER:¡TOMMIE WHEELER 3320 E UNIVERSITY DR APT 2086 MESA,AZ 85213-8677 US_____________________


PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMSNOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVED CASES: AMC429663/$20.00

NOI 2017/1 POL 2017/1 - n/a - 20.00

TOTAL: $20.00



NAME: WHEELER, TOMMIE3320 E UNIVERSITY DR APT 2086MESA AZ 85213-8677 US

2 AMOUNT: 10.00 POSTMARKED: N/ATYPE: CHECK RECEIVED: 10/17/2017

CHECK NO: 192NAME: WHEELER, TOMMIE

3320 E UNIVERSITY DR APT 2086MESA AZ 85213-8677 US

____________________________________ REMARKS____________________________________ICUST DID NOT SEND BACK ORIGINAL POL AND NOI/THEREFORE REC'D A COPY FROM [THE RETURN REMITTANCE FILE___________________________________________________This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion of the official electronic record contained therein.



Run Date: 08/21/17 . r - . . r-.. r-. R unT im e : 09:47 AMDEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT

MINING CLAIMSMC Maintenance Fees Paid Through the BLM Pay Portal

CBS Receipt: 3945712 Printed For Lead File #AMC429662

Agency Tracking ID: 1503122550

Assessment Year: 2018 Number of BLM Serial Nr: 1

Paid On: 08/19/2017 Total Amount Paid: $155.00

Claim NameAGPC-9

BLM Serial No Lead File No Am ount PaidAMC429663 AMC429662 $155.00

NO W ARRANTY IS MADE BY BLM FOR USE OF THE DATA FOR PURPOSES NOT INTENDED BY BLM

Receipt Page 89 of 101

United States Department of the InteriorReceiptBureau of Land Management

BUSINESS & SUPPORT SVCS DIV ONE N CENTRAL AVE SUITE 800

PHOENIX, AZ 85004 -4427 No: 3945712Phone: 602-417-9200

Transaction #: 4055406 Date of Transaction: 08/19/2017

CUSTOMER:llTOMMIE WHEELER 3320 E UNIVERSITY APT 2086 MESA,AZ 85213 US


PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMSNOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVED CASES: AMC429663/$ 155.00

- n/a - 155.00

TOTAL: $155.00

PAYMENT INFORMATIONNOTE: Items will appear on credit card statement as "BLM O Mining Claim".

1 AMOUNT : 155.00 POSTMARKED: N/ATYPE: CREDIT CARD RECEIVED: 08/19/2017

NAME: TOMMIE WHEELER3320 E UNIVERSITY APT 2086MESA AZ 85213 US

CARD NO: XXXXXXXXXXXX 8153 AUTH CODE: 090502NAME ON

CARD: TOMMIE WHEELER

EXPIRES: 10/2019SIGNATURE:

REMARKS


https://ilmocop0ap933.blm. doi.net/cgibin/cbsp/zorder_search?screen_mode=RECEIPT 8/21/2017

https://ilmocop0ap933.blm

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Form 3S30-2 (October 2013)

UNITED STATESDEPARTMENT OF THE INTERIOR

BUREAU OF LAND MANAGEMENTMAINTENANCE FEE WAIVER CERTIFICATI


FORM APPROVED OMB NO. 1004-0114

Expires: October 31, 2016

This small miner waiver is filed for the assessment year beginning on September 1, 2017_ and ending on September 1. 201?. . . . . . . f ________ i __—ill (,.n«al eitoc InonfpH nnH mmntmnpfl nn Fpnernl I!2. The undersigned and all related parties owned ten or fewer mining claims, milt, or tunnel sites located and maintained on Federal lands in the United States

3. The undersigned have performed1 the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form, the undersigned must file an affidavit of assessment work with the Bureau of Land Management (BLM) by the December 30th following the filing of this waiver.

4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.

5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. and that a notice of intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.

6 The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, or fraudulent document with the BLM may result in a fine of up to $250,000. a prison term not to exceed five years, or both.

------------------------------------------------------------------------------------------------- — -------------

CLAIM OR SITE NAME / BLM RECORDATION SERIAL NUMBER

1. AG PC-8 'ÄMC429662

2.3.4.

5.

6.

7.8.9.

10.

The owner(s) (claimants) of the above mining claims and sites are:

RICHARD S. LAUGHLIN

PO BOX 111(Owner’s Name - Please Print)

(Owner’s Mailing Address)

Signature)

MORRISTOWN(City) (State)

85342(Zip Code)

(Owner's Name - Please Print) (Owner's Signature)

(Owner’s Mailing Address) (City) (State) (Zip Code)

(Owner’s Name - Please Print)





............................

(Owner’s Signature)

(City)

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(Owner’s Name - Please Print) (Owner’s Signature)


(Owner’s Name - Please Print) (Owner's Signature)





(Owner's Mailing Address) (City) (State) (Zip Code)

18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.______________________________________________

INSTRUCTIONS1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1,2011, you must qualify for and file for a waiver no later than September 1.2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following the filing of this waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediately following the filing of this waiver.

9. Mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. A notice of intent to hold for these sites is required to be filed by the December 30th following the filing of this waiver.

rrj—

FOR OFFICIEUSE ONLY

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(Continued on page 3) 2)


ADRIAN FONTES20170625608 0 8 /2 4 /2017 11 .01

KIOSK RECORDING0760022-3-1 -1andricf


DO NOT REMOVE

This is part of the official document

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L DSTATESForm 3X30-2 DEPARTMENT OF THE INTERIOR r(.Ottober 2013) BUREAU OF LAND MANAGEMENT^



FORM APPROVED OM BNO. 1004-0114

Expires: October 31.2016

4 3 0 b e lThis small miner waiver is filed for the assessment year beginning on September 1, 2 0 1 6 and ending on September 1, 2 0 1 7The undersigned and all related parties owned ten or fewer mining claims , mill, or tunnel sites located and maintained on Federal lands in the United States o f A m erica on September 1, 2 0 1 6 .The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form, the undersigned must file an affidavit of assessment work with the Bureau o f Land Management (BLM) by the December 30th following the filing o f this waiver. The undersigned understand that i f the assessment work obligation has not yet come due under 30 U.S.C 28 (for those claims in their first assessment year only), a notice o f intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment o f the maintenance fee, and that a notice of intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing o f this waiverThe undersigned understand and acknowledge that pursuant to 43 U.S.C 1212 and 18 U.S.C. 1001. the fifing or recording of afalse , fictitious, or fraudulent docum ent with the BLM may result in a fine o f up to $250,000, a prison term not to exceed five years, or both.The m ining claims, mill or tunnel sites for which this waiver from paym ent o f the maintenance fees is requested are:


1. AGPC-8 AMC429662 i /2 AG PC-9 AMC429663

3. AGPC-10 AMC430601

4,

5.

6

7

8

9.10

The owner(s) (claimants) o f the above mining claims and sites are:

PO BOX 111l Owner's Name - Please Print)

----- i \ j .< s . r

MORRISTOWN

---------------------------- 2-----fc— ■-(Owner’s Signature)

AZ

«--^------

85342

(Owner’s Mailing Address) (City) ( State) (Zip Code)

(Owner ’s Name - Please Print) (Owner’s Signature)

iO w ner’s Mailing Address) (City) (State) (Zip Code)

~ o s i Z C 3 =

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(O w ner’s Name - Please Print)(—J

(Owner’s Signpitye) «J*Z m

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(O w ner’s Mailing Address) (City) * (S ta tjjJ ’ï à Ç l o d e )

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(Owner’s Name - Please Pnnt) (Owner’s Signature)


(Owner’s Name - Please Print) (Owner’s Signature) ^ 2wal t

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(O w ner’s Name - Please Print) (O w ner’s K ip ia tu r s ^ '

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(O w ner’s M ailing Address) (City) (State) O (Z‘P Code)

(O w ner’s Name - Please Pnnt) (O w ner’s Signature)


18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction ___________________________________ _

INSTRUCTIONSl . This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Pait 3830).2 The claimants) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought3, The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4 All claim and site nam es and B L M serial num bers m ust be listed fo r the m ining claim s, mill sites, and tunnel sites for w hich the w aiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6 This waiver form must be signed bv all the claimants or their designated agent, in original form It an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver,7, This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011, you must qualify for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8 For all mining claims which require assessment work, you must record an affidavit o f labor on or before the December 30th immediately following the filing of this waiver. For all other mining claims or sites waived, you must record a notice oi intent to hold on or before the December 30th immediately following the filing of this waiver

9, Mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee A notice of intent to hold for these sites is required to be filed by the December 30th following the filing oi this waiver

FOR OFFICIAL USE ONLY

(Continued oil page 3) (Form 3830-2, page 2)

■'\RICOPA COUNTY RECORDER HELEN PURCELL

2 0 1 6 0 5 8 2 2 8 4 0 8 / 1 5 / 2 0 1 6 0 3 : 3 :KIOSK RECORDING

0 6 9 4 2 3 7 - 3 - 3 - 1h e r n a n d ez e


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Reside at (Address) ëûAû2Ull_____

City jyÛgâlÎHhm.County ¡MgicofMState DZ' Zip 4 ~L 'M L - being duly sworn, depose and say that I am a citizen of the United States, more than eighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and correct according to the best of my knowledge, information and belief. _ .4. Owner's name and address (If not shown in Items 1-3 above). <^~A A 7 ^ " " 7 A A /K I j_____


AfilXJ OOH //V fcs ffokional) Mining District;_____ A/f) tfl/C0Pi) County, Arizona.

LineNo.



1 f\KPC~9> r , M2 H34UÔ f t & P t . - <7 c V

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Form: MCF108Revised Jan. 2006

Page 1 of 2

AFFIDAVIT OF PERFORMANC ANNUAL WORK - page 2

7

8

9

10

6. That between the dates starting at 12 o'clock noon on September 1, 20 / ¿T and ending at 12 o’clock noon on September 1, 20 jQ y at least $ O O dollars worth of work and improvements were done and performedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside of a contiguous group of claims for the benefit of all, not including the location work.

7 That the following persons were employed to perform the work and improvements described herein:____________

f a c t ' M £ A _________8. That the work and improvements performed were:

„ _____________________________________________

a - V .

9. Dated: « Signature: . ' L ■■3 .7ü y . ^ h l i H £ m | i |

'ublic ^ ^ j p P j V W - — __________

mission Ekpjres__ _______ i t j j j p f l | r Q C j [ U _______________

By:.

Notary Public

My Commission E^pyes

Bureau o f Land Management Arizona State Officewww.az.blm.gov

day ofc. k P u 20 I V/>

Hg\ Jennifer L Penta

Notary PublicM Maricopa County, Arizona / My Comm. Expiree 1 0-29-16

No. o f Claims: , 5>_______x $10 = > < 3 ö -

Check No. : / 3 > ( Init.

Receipt No. : (

For BLM Use Only

Form: MCF108Revised Jan. 2006

Page 2 of 2

This form is available from the Arizona Departm ent of Mines & Mineral Resources and may be reproduced.

http://www.az.blm.gov

This envelope is made from

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* Domestic only. x For International shipments, the maximum weight is 4 lbs.

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UNITED STATES POSTALSERVICE.

PS00001000014



Receipt

PHOENIX, AZ 85004 -4427 Phone: 602-417-9200

No: 3639002

Transaction #: 3742902Date of Transaction: 08/24/2016___________________

CUSTOMER:H r ic h a r d s l a u g h l in

PO BOX 111MORRISTOWN,AZ 85342-0111 US____________


PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMS-NOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVEDCASES: AMC429662/$30.00

WAIVER 2017 - 3 /POL 2016-3 - n/a - 30.00

TOTAL: $30.00



NAME: LAUGHLIN, RICHARD STANLEY PO BOX 111MORRISTOWN AZ 85342-0111 US

REMARKS


Form 3830-2 (October 2013)

ED STATESDEPARTMENT OE THE INTERIOR

BUREAU OF LAND MANAGEMENTMAINTENANCE FEE WAIVER CERTIFICATION

FORM APPROVED OMBNO. 1004-0114

y Z ? y r y

Expires: October 31.2016SEE INSTRUCTIONS ON PAGE 2

I This small miner waiver is filed for the assessment year beginning on September 1, 2015 and ending on September 1. 2 0 1 6 __2. The undersigned and all related parties owned ten or fewer mining claims . mill, or tunnel sites located and maintained on Federal lands in the United States

of America on September 1. 20153. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit o f assessment work with the Bureau o f Land Management (BUM) by the December 30th following the filing o f this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice o f intent to hold reciting this condition must be recorded by the December 30(h following the filing o f this waiver5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment o f the maintenance fee. and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing o f this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 12 12 and 18 U.S.C. 10 0 1, the filing or recording o f a false, fictitious, or fraudulent

document with the BLM may result in a fine o f up to $250,000. a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment o f the maintenance fees is requested are:


L A G P C - 8 A M C 429662

2. A G P C - 9 A M C 429663

3. A G P C - 10 A M C 430601

4- T E N A C IO U S AM C427444 IP S . ~5. CD

m 3»*6. ' t s t ~7. ^ bo r j

I co H8. 12 TJ "n9. r- ; u ü

O £T10. > o j ;

The owner(s) (claimants) o f the above mining claims and sites are:

JA M E S E. H A E R R (C o-ow ne r T enac ious A M C 427444)

(Owner's Name - Please Print)

5166 H W Y 89 S O U TH LIV IN G S T O N M T 59047

(Owner's Name - Please Print) (Owner’s Signature)

(Owner's Mailing Address) (City) (Slate) (ZipCode)


(O w ner’s Mailing Address) (City) (State) (ZipCode)




(O w ner's Name - Please Print) (Owner's Signature)




(Owner's Name - Please Print) (O w ner’s Signature)


18 U.S.C. 1001 and 43 U .S.C. 1212 m ake it a crime for any person know ingly and w illfully to m ake to any departm ent or agency of the U nited Stales any false, fictitious or fraudulent statem ents or representations as to any m atter w ithin its jurisdiction.

IN STRU CTIO N S1. This certification is m ade under the provisions o f 43 U .S.C. § 1744 and 30 U.S.C. ij28-28k and the regulations thereunder (43 CFR Part 3830).2. The claim ant(s) m ust fill in the dates in paragraph 1 for the beginning and ending o f the assessm ent year for w hich this w aiver is sought3. The claim ant(s) m ust fill in the date in paragraph 2 for the beginning o f the assessm ent year for w hich this w aiver is sought.4. All claim and site nam es and BI..M serial num bers m ust be listed for the m ining claim s, mill sites, and tunnel sites for w hich the w aiver is sought.5. All ow ners o f the m ining claim s, mill sites, and tunnel sites and their addresses m ust be given6. This w aiver form m ust be signed by all the claim ants or their designated agent, in original form. I f an agent is designated, a notarized designation o f

agent, signed by all o f the claim ants with proper address given, m ust be subm itted w ith this w'aiver7. This form m ust be filed no later than Septem ber 1st for the upcom ing assessm ent year in the BUM State Office w here the m ining claim s or sites are

recorded, or the w aiver cannot be granted by the BLM. (Exam ple: To obtain a w aiver for the assessm ent year 2012. w hich begins on Septem ber 1, 2011, you m ust qualify for and file for a w aiver no later than Septem ber 1, 2011, in the proper BLM State Office.)

8 For all m ining claim s w hich require assessm ent work, you m ust record an affidavit o f labor on or before the D ecem ber 30th im m ediately follow ing the filing o f this w'aiver. For all other m ining claim s or sites w aived, you m ust record a notice o f intent to hold on or before the D ecem ber 30th im m ediately follow ing the filing o f this waiver.

9 Mill and tunnel sites may also be listed on this w aiver and be w aived from paym ent o f the m aintenance fee. A notice o f intent to hold for these sites is required to be filed by the D ecem ber 30th follow ing the filing o f this waiver. “T"? J

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U DSTATESForm 3830-2 (October 2013)

DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT I Iej j K

MAINTENANCE FEE WAIVER CERTIFICATION__

SEE INSTRUCTIONS O N PAGE 2

u 3 9 6 6 ? -

W ' f ' f ' f ^>0{°FORM APPROVED OMBNO. 1004-0114

O


1. Thin »mall miner waiver is tiled tor the assessment year beginning on September 1, 2015 and ending on September 1, 2016 .2. The undersigned and all related parties owned ten or fewer mining claim s, mill, or tunnel sites located and maintained on Federal lands in the United States

o f America on September 1, 2015 .3. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit o f assessment work with the Bureau o f Land Management (BLM) by the December 30th following the filing o f this waiver.4. The undenigned understand that i f the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice o f intent to hold reciting this condition must be recorded by the December 30th following the filing o f this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment o f the maintenance fee, and that a notice o f

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing o f this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001. the filing or recording o f a false, fictitious, or fraudulent

document with the BLM may result in a fine o f up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment o f the maintenance fees is requested are:


1. AGPC-8 , / AMC429662

2. AGPC-9 AMC429663

3, AGPC-10 AMC430601 3 S

4 TENACIOUS AMC427444 ® ^5, z r H ^ZZZ 2 - '-rj6.

----------------------------------------- ^ --------- j---------- ---------- -__ j rn

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The owncifs) (claimants) o f the above mining claims and sites are:

JAMES E. HAERR (co-owner Tenacious AMC427444)


5166 HWY 89 SOUTH LIVINGSTON


RICHARD S. LAUGHLIN

’s Signature)

MT 59047

(Owner’s Name - Please Print) (Owner’s Sj^ature)

PO BOX 111 MORRISTOWN AZ 85342





(Owner's Mailing Address)

(Owner’s

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(Owner’s Mailing Address) (City) 3 - “) = (Zip Code)

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(Owner’s Name - Please Print) (Owner's Signature) . t rn

> ; c(Owner’s Mailing Address) (City) M State) (Zip Cdde)

n--- -----------------------

18 U .S.C . 1001 and 43 U .S.C . 1212 make it a crime for any person knowingly and 'willfully to make to any department or aggm y o f tfatrUnited States any false, fictitious or fraudulent statements or representations as to any matter w ithin its jurisdiction.___________________________________ - Q H',_________

INSTRUCTIONSThis certification is made under the provisions o f 43 U .S .C . § 1744 and 30 U .S.C . §28-28k and the regulations thereunder (43 CFR Part 3830).The c la im an ts) must fill in the dates in paragraph 1 for the beginning and ending o f the assessm ent year for w hich this waiver is sought.The claim ant^) m ust fill in the date in paragraph 2 for the beginning o f the assessm ent year tor which this waiver is sought.A ll claim and site nam es and BLM serial numbers must be listed for the m ining claim s, m ill sites, and tunnel sites for which the waiver is sought.A ll owners o f the m ining claim s, m ill sites, and tunnel sites and their addresses must be given.This waiver form must be signed by all the claimants or their designated agent, in original form. I f an agent is designated, a notarized designation o f agent, signed by all o f the claimants w ith proper address given, m ust be submitted with this waiver.

7. This form must be filed no later than September 1st for the upcoming assessm ent year in die BLM State Office where the m ining claim s or sites are recorded, or the w aiver cannot be granted by the BLM . (Example: To obtain a waiver for the assessm ent year 2012, which begins on September 1, 2011, you m ust qualify for and file for a w aiver no later than September 1, 2011, in the proper BLM State O ffice.)For all mining claim s w hich require assessm ent work, you m ust record an affidavit o f labor on or before the Decem ber 30tb4punedM tcly follow ing the filing o f this waiver. For all other m ining claim s or sites waived, you must record a notice o f intent to hold on or before the;Decembjn^5 Oth immediately follow ing the filing o f this waiver.M ill and tunnel sites m ay also be listed on this waiver and be w aived from payment o f the maintenance fee. A notice o f in tig tto ho

8

9.required to be filed by the Decem ber 30th follow ing the filing o f th is waiver.

r these sites is. rn

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FO R OFFICIAL USE ONLY


!/____ t __________ , do hereby give m y permissionto, and appoint /fL \rk n rJ ¡ '„ ______ as my authorizedrepresentative, to act as agent in my behalf for ail our jo in t dealings with the Bureau of Land Management.

CLAIMANT DATE

STATE OF

COUNTY OF r r \x r t copg

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On the IT day of t*j_______ , 20 /*Y . personally appearedbefore me. A Notary Public in and for the above state and county,i j i t e x s £ U a^rr~________________, known to me or proved to be theperson named in and who executed the foregoing instrum ent, and being first duly sworn, such person acknowledged that he or she executed said instrum ent for the purposes therein contained as his or her free and voluntary act and deed.

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OFFICIAL RECORDS OF 1ARICOPA COUNTY RECORDER

HELEN PURCELL2 0 1 5 0 3 8 4 3 3 3 0 5 /2 9 /2 0 1 5 0 3 :1 2

KIOSK RECORDING

0 4 1 8 3 6 0 - 3 - 2 - 2 r o g e r s j

NOTICE OF INTENTION TO HOLD MINING CLAIMSISITES

DO NOT REMOVE

This is part o f the official document~o • • /ocG> i~nm C— . >2 cm2T !

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NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITES When Recorded Return Document to: .

n e r v i s m * ; , i f 7 .

□ Check here if this is a change of address.Telephone: / ) ____

E-mail Address: S L A U S tiD /J L f 2 ¿ 0

I (W e) intend to hold the claims(s) and/or site(s) listed below for the calendar year 20/ h and I (W e) have f il^ o r wi file a Notice of Intent to Hold in the county where the claim (s) is located. zReason for filing a Notice of Intent to Hold instead of an assessment work filing (check one): ><□ Maintenance fee was paid to maintain daim (s) during the assessment year.□ Mill or tunnel sites.

£ ) Claim(s) was located during the current assessment year.□ BLM has deferred assessment work (attach copy of decision granting deferment, or pending petition for o

deferment including date petition was filed.) z

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NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITES page 2

BLMDateStamp J 3

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1. State of Arizona, County of Ï'^i A / K Ï / J 'D H /r? ______________

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..... ___ Jo Aox m_________________City M ()Ç $ A vmlCount 'Hi/HCOtH-state / / ¿ f Zip being duly sworn, deoosdarxtsay that I am a citizen of the United States, more than eighteen years of age, that aU of the facts set forth in this notice, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and correct according to the best of my knowledge, information and belief.

Bureau of Land Management Arizona State Officewww.blm.aov/az

No. of Claims: „ ^ _____ x $10 —$ 7Ô - c >Check No: I N ? - _Imt _Receipt No.: 3 3 / ^ -3For BLM Use Only


Page 2 of 2


2015 JUN - I A

I0: ^0

http://www.blm.aov/az

of 1


LANDS/RECREATION & PLANNING ONE N CENTRAL AVE

Receipt

PHOENIX, AZ 85004 -2203 Phone: 602-417-9200

No: 3312349


CUSTOMER:IIr ic h a r d s l a u g h l inPO BOX 111MORRISTOWN,AZ 85342-0111 US____________


PRICE TOTAL

1 1.00

LOCATABLE MINERALS / MINING CLAIMS-NOT NEW-UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM MONEY RECEIVED CASES: AMC429662/$70.00

MAINT FEE WAIVER (4) 2016/ NOI (3)2015

- n/a - 70.00

TOTAL: $70.00



NAME: LAUGHLIN, RICHARD STANLEY 3296 HARDEE AVE CHAMBLEE GA 30341 US

REMARKS


r w

* J i ( l S

6/2/2015

Please process and file the enclosed paperwork.

Return To:

Richard S. Laughlin

PO Box 111

Morristown, AZ 85342

Thank you.

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OFFICIAL RECORDS OF IRICOPA COUNTY RECORDER

HELEN PURCELL2 0 1 5 0 3 8 4 3 3 2 0 5 /2 9 /2 0 1 5 0 3 :1 2

KIOSK RECORDING

0 4 1 8 3 6 0 - 4 - 2 - 1r o g e r s j


DO NOT REMOVE

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UNITEDSTATES POSTAL SERVICE® shipping servies on ebay

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05/30/2015 From 85342

U S P O S T A G E PAID P itney Bow es C o m B a sP r ic e

Flat Rate Envelope

024P0007617919

PRIORITY MAIL 1-DAYCaptDick Enterprises.Net PO Box 111 Morristown AZ 85342

Delivery Date: 06/01/2015

0006

£ 0 4 1BUREAU OF LAND MANAGEMENT 1 N Central Ave Ste 800Phoenix AZ 85004-4427

USPS TRACKING #

9405 5096 9993 9978 0474 75

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This packaging is the property of the U.S. Postal Service® and is provided solely for use in sending Priority Mail® shipments.Misuse may be a violation of federal law. This packaging is not for resale. EP14F-P-PP © U.S. Postal Service; June 2012; All rights reserved.

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Schedule package pickup right from your home or office at usps.com/pickup Print postage online

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NOTICE!!


Do not place un-scanned documents beneath this notice! Do not remove this notice from this file!


Rise Business Services, LLC Job=AZ15 5 /1 0 /2019

Box Number= AZ15031


5 Miscellaneous

AZ15031 -20 AMC429540-AMC429995

AZ15031

AMC429662-AMC429663

BREAK

R eversal Confirm ation P age 1 o f 1

!MAC4?°ifcG2Authorized Date08/07/2015

AZ BLM REFUND $40 TO RICHARD STANLEY LAUGHLIN FOR Instructions to AccountsOVERPAYMENT OF 2015 NOI PROCESSING FEE FOR AMC429662.

RECEIPT#3312349. [email protected] ID4105

Entry Date08/07/2015 Total Amount$40.00

http://ilmnirm0ap301/cgibin/cbsp/zorder_search?screen_mode=AUTH 8/7/2015

http://ilmnirm0ap301/cgibin/cbsp/zorder_search?screen_mode=AUTH

9/21/2015 ' D E PA R TM EN T OF T H E IN TER IO R Mail - Fwd: CBS Cancelled Check

Ebert, Rodney <[email protected]>

Fwd: CBS Cancelled Check (r IfHouston, Annabell <[email protected]> To: Rodney Ebert <[email protected]>

Rod,

Mon, Sep 21, 2015 at 11:17 AM

The Refund check below was returned to Treasury.

Regards,

Annabell HoustonAccounting Technician, CBS Core Team LeadInformation Access CenterAZ State Office - Bureau of Land Management1 North Central Ave, Suite 800Phoenix, AZ. 85004-4427Tel.: 602-417-9562Fax: 602-417-9556

--------- Forwarded message----------From: <[email protected]> Date: Mon, Sep 21, 2015 at 4:00 AM Subject: CBS Cancelled CheckTo: [email protected]: [email protected]

Treasury cancelled the refund check listed below. The funds are back on your original transaction. Determine why Treasury returned the refund check. Either start the three step refund process again to a corrected address or carefully follow the procedures on unclaimed money described in the Unclaimed Money Instruction Memorandum for the current fiscal year.

If this cancelled check refunded a Declining Deposit Account (DDA), the automatic cancelled check interface updated the DDA status and balance. The DDA will be in ready state to refund again. If you transfer to Unclaimed Money, you will have to go into DDA Management and manually close the DDA after you complete the transfer.

For more details regarding this cancelled refund check please refer to the Cancelled Refund Check Report.

RICHARD STANLEY LAUGHLIN 3296 HARDEE AVE CHAMBLEE, GA 30341-3308

Transaction No Refund Date CBS Doc No Fund Code Amount Receipt Org

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https://mail.google.com/rn

9/21/2015 " '"P A R T M E N T OF T H E IN TER IO R Mail - Fwd: CBS Cancelled Check

3409454 08/12/2015 31- 8 XXXL6500DP $40.00 LLAZ931

Please contact the CBS Customer Service Desk at 303-236-6795 if you need assistance.

This email was generated by the automated Cancel Refund Check Interface between FBMS and CBS. Database = cbsp.

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9/21/2015 '■''■PARTMENT OF T H E IN TER IO R Mail - Fwd: CBS Cancelled Check

Ebert, Rodney <[email protected]>

Fwd: CBS Cancelled Check

Houston, Annabell <[email protected]> To: Rodney Ebert <[email protected]>

Rod,

Mon, Sep 21, 2015 at 11:17 AM

The Refund check below was returned to Treasury.

Regards,

Annabell HoustonAccounting Technician, CBS Core Team LeadInformation Access CenterAZ State Office - Bureau of Land Management1 North Central Ave, Suite 800Phoenix, AZ. 85004-4427Tel.: 602-417-9562Fax: 602-417-9556

--------- Forwarded message----------From: <[email protected]> Date: Mon, Sep 21, 2015 at 4:00 AM Subject: CBS Cancelled CheckTo: [email protected]: [email protected]

Treasury cancelled the refund check listed below. The funds are back on your original transaction. Determine why Treasury returned the refund check. Either start the three step refund process again to a corrected address or carefully follow the procedures on unclaimed money described in the Unclaimed Money Instruction Memorandum for the current fiscal year.

If this cancelled check refunded a Declining Deposit Account (DDA), the automatic cancelled check interface updated the DDA status and balance. The DDA will be in ready state to refund again. If you transfer to Unclaimed Money, you will have to go into DDA Management and manually close the DDA after you complete the transfer.

For more details regarding this cancelled refund check please refer to the Cancelled Refund Check Report.

RICHARD STANLEY LAUGHLIN 3296 HARDEE AVE CHAMBLEE, GA 30341-3308

Transaction No Refund Date CBS Doc No Fund Code Amount Receipt Org

https://mail.google.com/rn ail/u/0/?ui=2&ik= a97aa3f2ba&view= pt&search=inbox&msg= 14ff11faf86ffada&siml= 14ff11faf86ffada 1/2








9/21/2015 ' r' ,_PARTMENT OF THE INTERIOR Mail-Fwd: CBS Car—'led Check

3409454 08/12/2015 314 5 XXXL6500DP $40.00 LLAZ931

Please contact the CBS Customer Service Desk at 303-236-6795 if you need assistance.

This email was generated by the automated Cancel Refund Check Interface between FBMS and CBS. Database = cbsp.

https ://m ai I .google.com/m ai l/u/0/?ui= 2&i k= a97aa3f2ba&vi ew= pt&search= i nbox&m sg= 14ff 11 faf86ffada&si m I=14ff11 faf86ffada 2/2

• M C U pdate A ction D etails Page 1 o f 1

Action Code Update

Serial-No: AMC429662 Status: ACTIVE

Bottom of Screen

Del? Date (mm/dd/yyyy) I Code Action Taken Action Remark Receipt Nr Ins l® 1 □ x 09/25/2014 r d| 403 |l o c a t i o n d a t e ¡R M ATT

O 2 □ x 11/06/2014 1 i 305 R E C O R D A T IO N N O TIC E R E C D \ ~ ¡CBS_.IL

O 3 □ x 08/28/2015 i 1483 S M A LL M IN E R C E R T F ILE D (2016 | r e b e r

O 4 □ X 08/07/2015 □ j 379 R E F U N D A U T H O R IZ E D |$ 4 0 ;O V E R P D NOI ¡3312349 ¡R E B E R

0 5 □ x 06/01/2015 1 u| 913 M A IN T W A IV E R D O C F ILE D |2 0 1 6 1 RM ATT

O 6 □ x 06/01/2015 I 1481 N O TIC E O F IN TE N T TO H O LD ¡2015 |3 3 12349 |R M ATT

0 7 □ x 04/08/2015 [ 669 LA N D S T A T U S C H E C K E D ¡R EB ER

O 8 □ x 11/06/2014 [ ul 501 A C C T A D V IN LE A D FILE ¡A M C 42 9 6 6 2 -A M C 4 2 9 6 3 3 ; ¡RM ATT

O 9 □ X 11/06/2014 m 484 LO C A T IO N Y E A R / M A IN T E N A N C E FE E |2 0 1 5 ;$ 1 5 5 ¡3164646 1 RM ATT

0 10 □ x 09/30/2014 404 C O U N T Y R E C O R D A T IO N (2014-0647 443 ; |R M ATT

# Actions: 10Provide me with n s new occurrences

Please SAVE&CONTINUE Between DELETES and NEW/CHANGE LinesSave & Continue | Save & Exit I Cancel I Lookup

Serial-No: AMC429662

Top of Screen

http://ilmnirmOapl 51:9000/cgi-pro/lr2000_510/ltsrpl ts?@webid=6c37Ena4gg-145511066... 2/10/2016

http://ilmnirmOapl

R eversal C onfirm ation P age 1 o f 1

Authorized Date02/12/2016_ . AZ BLM REFUND TO RICHARD LAUGHLIN $40.00 FORInstructions to Accounts o v e r p a y m e n t OF FEES ON AMC429662 RECEIPT #3312349. IR

Login ID6771 Entry Date02/12/2016

Total Amount$40.00

http://ilmnirrn0ap301/cgibin/cbsp/zorder_search?screen_mode=AUTH 2/12/2016

http://ilmnirrn0ap301/cgibin/cbsp/zorder_search?screen_mode=AUTH

NOTICE!!






Box Number= AZ15031


6 Location Notices-Amendments and Supporting Documents

AZ15031-20 AMC429540-AMC429995

AZ15031

AMC429662-AMC429663

BREAK

m ining claim status report

Data Entered: / / / ! MTP Checked By: j / J 'fz ./ /yGEO Checked By: i f / / z //</

LEAD SERIAL NUMBER: AMC ^ th ru AMC ^ fa fa. 3

NUMBER OF CLAIMS & TYPE: CHARGES:

____________ LODE

"X PLACER

____________ ASSOCIATION PLACER

____________ MILL SITE

____________ TUNNEL SITE

TOTAL ACREAGE: <? O ________ Per Claim _(Placer Only)

NUMBER OF LOCATORS: /

DOCUMENTS RECEIVED VIA : Over-the-Counter [ ] Mail [

LEGAL DESCRIPTION: T R SEC

T ____________ R SEC

T ____________ R SEC

T ____________ R SEC

T ____________ R SEC

BLM [ ] FOREST SERVICE [ ] _________________________________ SUBJ TO PL 359: Yes [ ] No [ ]

WILDERNESS AREA [ ] ____________________________________________________________________

SPLIT ESTATE: N/A [ ] SX [ ] PX [ ] OTHER [ ] ________________________________________________

SRHA [ ] 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 [ ]

COMMENTS/STATUS: VOID [ ] PARTIALLY VOID [ ] PVT MINERALS [ ] WITHDRAWN LANDS [ ]

OTHER [ ] ___________________________________________________________________________

Location Fee @ $37 = $ Lfa . (J(^ )

Processing Fee @ $20 = $ tfafafa) cQfafa)

Maintenance Fee @ $155 = $ < f a [ ( ) - ( fa fa J

Add'l Maint Fee for Assoc Placer = $

SUBTOTAL ypL1/ -¿X)

0t ' V .

Other Fees

Other Fees

TOTAL

TIMELY FILED: Yes I

$ ~ck tf. c)( )

No

[ ] Claimant acknowledges that portions of the following claim(s) slte(s) may be void or voidable.

P rinted Name o f C laim ant Signature o f C laim ant

* * * * * * * * * * * * * * * * * * * * p | | ^ ^ L A D JU D IC A T IO N ****** * * * * * * * * * * * * * *

DATE l-\ ~ \ j S INITIALS

AM

CU

2q

bb

2

ffeíM/vToi$¿J}/)AO 6 ,l4 ti¿ yU /0 po /$ÚX)))

M o P p h fD W ÏÏ;


HELEN PURCELL2014-0647443 09/30/14 01:31 PM

PAPER RECORDING

0758919-2-2-2henrya

~ n !; )C=D *o •er .■*

BLM m zCD -

Date ><< r n

Stampy>:x>

1c r

C Jj j 2; <

M D ]rno UJ • j2 : ___

LOCATION NOTICE FOR PLACER MINING CLAIM

□ Amendment BLM Serial #

NOTICE IS HEREBY GIVEN that the /} J3 P %_______

____________________ _ placer mining claim has been located by

l/llL P~rjlLl/l) whose current mailing

address is. Pl A L L IL ____________________________

m m 6.im . ^ a z . $5L ? 4 2The general course of this claim is h m iL m a H and it is situated in

NOCJ1

County, Arizona. This claim is !3PD feet in length and fo&O feet In width

M . Total Claim Acreage. This claim runs from the location monument on which this location notice is

posted at the hi & comer of the claim aDDroximately f P L j feet in a S _ direction to the

— j£.___ end line and O feet in a \/J _ direction to the \AJ______end line. This claim is

marked by four monuments, one at each comer of the claim.

The location monument on which this notice is posted is situated within Section . Township

P L JP - , Range 1/iP , Gila Salt River Base and Meridian, Arizona. This claim encompasses

portions of the following legal subdivision(s) if located by legal subdivision or the following quarter section(s),

section(s), Township(s) and Range(s) jL ' /x lO £ h v £ ]/4 c? oX L U L K LA aL______________________ _______,Gila Salt River Base and Meridian, Arizona.

The locality of this claim with reference to some natural object or permanent monument and additional information

jifa n y ) concerning its locality are as follows: fJPl-P/hA / j S /) ~TJJLtL Lj£.&S P A / L A m L P L S & L m /?¿Ml l 4

v y_The above information is shown on the attached map.

DATED AND POSTED on the ground this jXPTi) day of SBffPAlAS)Ÿ. 20 } tf'.JS LOCATOR(s) □ AGENT

Print Name(s)

Signatures) ------------------ -, w r u ~ I F. ----------------------- Fornl MCF102

Revised July 2014


AH

OU

Ibb!

MINING CLAIM MAP

1 mile

S^TIoaJ ) 1

1

NW

u *

NE UO

SW

■£307*7//

LU

-X

(V7

Lode ( ) Placer Millsite ( )

SZ TtcP'O 2V

X - L&£/)Tit7r(Jijji J:=rrh zzl—. -<>< i3> °~

~ T)KJ u2 v SV

. rn: o rn

J

AScale: 1" = 2000 feet ' N

1. The above map depicts the A&PK.-« __mining claim, which is located in Section (s)

2 /9------ . Township _Q_______/[J , Range ^ l\J , Gila and Salt River Base and Meridian

MM1A12M _ County, Arizona. Total claim acreage is _______ 72. 7) A £7)2. The type of comer and location monuments used are as follows: ¿TL/l PPff/O 7

[AjiT/l__ /)L /m I/UU / 7 1/4 (2S _____________________________________

3. The bearings and distances in degrees and feet between claim comers and to a public land survey monument

are as depicted on the map.

4. If the claim is a placer or millsite claim with exterior limits conforming to legal subdivisions of the public survey,

provide a legal description of the claim f- /*?_ AzC H A L K 2 >u L

Form MCFlOOaRevised July 2014

This form is available from the Arizona Geology Survey and may be reproduced.

2<m

ZtiO

MV

He Tl/KaJ I O! ftc P r ir tû ¿AMGfflJ/U

fiû & D X , / / /

Mt?fM')STt>lM),â2 ÌC 5 9 2


HELEN PURCELL2014-0647442 09/30/14 01:31 PM

PAPER RECORDING

0758919-2-2-1henrya

LOCATION NOTICE FOR PLACER MINING CLAIM

□ Amendment BLM Serial #

}T 5 r-o

c=> "■*I C s z r : t.

r n Z ZCD 3

BLM j t -

Date > < ic r

")n

Stamp T ï

2 T 3 Jn

i- do V JX

___________ X .__ r-o

NOTICE IS HEREBY GIVEN that the f\lA PS — ^7 _______

_____________________placer mining claim has been located by

i<!/0 Utn whose current mailing

address is. ¿ Q . H L ____________________________

iM oPPiPTD^y.The general course of this claim Is and it Is situated In

County, Anzona. This claim is J P.AA) feet in length and feet in width

3j i . Total Claim Acreage. This claim runs from the location monument on which this location notice is

posted at the ¡\J& comer of the claim aoproximately ATf in a _ direction to the

^ end line and bfaO feet in a vJ direction to the _ J d Z end line. This claim is

marked by four monuments, one at each comer of the claim.

The location monument on which this notice is posted is situated within Section c . Township

i AJ- — . Range IaJ , Gila Salt River Base and Meridian, Arizona. This claim encompasses

portions of the following legal subdivision(s) if located by legal subdivision or the following quarter section(s),

section(s), Township(s) and Range(s) w b y* % S B O m l -2 F-r n /J £ 3 u i ______________________ _______ ,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 h/pZj

LlojO iiL/ZM i _The above information is shown on the attached map.

DATED AND POSTED on the ground this 'Ijo'T}) day o y? , 20 ) f~ .

J% LOCATOR(s) □ AGENT

Print Name(s) jyy^ jy ~7f /) FF 4 // £ iM . s \\L I/O¿ y J ---------------------- Forni MCF102

- F Revised July 2014


3 > .

O-c r

N J- Oc r c7- Lxt

* 1 mile -------

MINING CLAIM MAPLode ( ) Placer po

/¿ j

▲ ; u

: £

NW 1 r

X

o‘E

! (iiii

¿ ¿ 7X -

3? s :05c

T—■•i x , *■>'—\

▼

ii■SW j SE

11

\a J

’ a- 'n

E5 TJ 'r n r-i ,) e ji W ":l

ß , f

AScale: 1" = 2000 feet N

1 The above map depicts the — ft lo A ________ mining claim, which is located in Section (s)

3 0 , Township M._____ &L. , Range J2-J& L , Gila and Salt River Base and Meridian,

J-dl$ A) LO& i County, Arizona. Total claim acreage is ________^

2. The type of comer and location monuments used are as follows: A P.PEX) 2.H C iaS/TH rftiJM! VUM IN K S ___________________

3. The bearings and distances in degrees and feet between claim comers and to a public land survey monument

are as depicted on the map.

4. If the claim is a placer or millsite claim with exterior limits conforming to legal subdivisions of the public survey,

provide a legal description of the claim UJ h h /ft W t i f t Yu- ZZ.O

-TO A / g Jd A l f c S R A ' i M ____________________Form MCFlOOa

Revised July 2014This form is available from the Arizona Geology Survey and may be reproduced.

RUNTIM E: 01:24PM

Case D isp Txt

Total Rows Returned: 2

DEPARTMENT OF INTERIOR BUREAU OF LAND MANAGEMENT

Input Parameters for Geographic Report with Land

RUN DATE:

System Id = CR

Adm in State = AZ

Geo State =

Casetype B egins W ith

AUTHORIZED, CANCELLED, EXPIRED, PENDING, REJECTED, RELINQUISHED, WITHDRAWN

Mer Twp Rng =

Section =

M trs = 14 0070N 0030W 030, 14 0070N 0030W 999

C om m odity =

C om m odity Txt =

Pending Org =

Pend Org Decode =

11/12/2014

Page 1 o f 1

NO WARRANTY IS MADE BY BLM FOR USE OF THE DATA FOR PURPOSES NOT INTENDED BY BLM

UNITED STATES DEPARTMENT OF INTERIOR RUN DATE: 11/12/2014BUREAU OF LAND MANAGEMENT Page 1 o f 1

GEOGRAPHIC REPORT WITH LAND Sorted by Serial Num ber

Serial Num ber: AZA 031568Total Case Acres: 1.000

Casetvoe Case Diso 14 0070N 0030W Sect Sur Tvp Sur Num Suff S ubd iv is ion A ct Pend

293200 EXPIRED 030 FF PO R TIO N OF;

Serial Num ber: AZA 031961 Total Case Acres: 1.000

Casetvoe Case Diso 14 0070N 0030W Sect Sur Tvo Sur Num Suff S ubd iv is ion A ct Pend

293200 EXPIRED 030 FF PO R TIO N OF;

Serial Num ber: AZA 036537 Total Case Acres: 1.000

Casetvoe Case Diso 14 0070N 0030W Sect Sur Tvo Sur Num Suff S ubd iv is ion A ct Pend

380913 A U TH O R IZED 030 ALIO E2SESE; Y

RUNTIM E: 01:24 PM

Adm State: AZ

TOWNSHIP 7 NORTH RANGE 3 WEST OF THE GILA AND SALT RIVER MERIDIAN, ARIZONA

I— 19

---------301!*’ l

« 38. *1 f

4 38.67'

Lot

WASHING STATEMENTi>l» plot I# the Bureou's Rocord o' Title, ond should Oc wood

o"ect«d by oterol movoo-ootj o' riverj or other bodle« el wotor.

STATUS OF PUBLIC DOMAIN LAND AND MINERAL TITLES

INDEX TO SEGREGATED TRACTS

ORIGINAL SURVEY

FOR ORDERS AFFECTING DISPOSAL OR USE OF_______UNIDENTIFIED LANDS WITHDRAWN FOR CLASSIFICATION, MINERALS, j VATER AND/OR OTHER PUBLIC PURPOSES, REFER TO INDEX OF MISCELLANEOUS DOCUMENTS.

D/ST NO 2

MDS 25 J NE 254 NW

33'53'46'N

112'31’O rW

CURRENT TO

1 -2 6 -2 0 0 5

BTT

R

7 N

3 W

GPO Jacket No. 560-102 Job=AZ15 5/10/2019

Documents

Transcript of GPO Jacket No. 560-102 Job=AZ15 5/10/2019