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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1980244 <br /> Cripple Creek&Victor Gold Mining Company Receipt#: 21762 <br /> Jack Henris Date: 07/05/2016 <br /> 100 N. 3rd Street <br /> P. O. Box 191 Permit: M1980244 <br /> Victor CO 808600000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#2000227' 4300-MTRO Minerals Technical Revision $1,006.00 <br /> Receipt Total: $1,006.00 <br /> Page 1 of 1 <br />