Date:

From:

To:

UNITED STATES OF AMERICA

U.S. DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT, EASTERN STATES
7430 Boston Boulevard
Springfleld, Virginia 22153
Telephone: (703)440-1600

Dear Sir/Madam:

Please issue to me a certified copy of the ORIGINAL Land Patent covering the

described land(s), enclosed herein.

Thank you for your kind cooperation and understanding in this matter.

Sincerely,

Cc: file