PERMFILE72617

• Permit No: M2004045
• IBM Index Class Name: Permit File
• Doc Date: 2/7/2005
• Doc Name: 110c New Appl
• From: Thomas H. Smith
• To: DMG
• Media Type: D
• Archive: No

EXHIBIT J - I
Ms. Suzi Eriksen
Division of Minerals and Geology
1313 Sherman Street, RM 215
Denver, CO 80203
February ~, 2005
Daniel M. Russell delivered a copy of Thomas H. Smith's application for a Division of
Minerals and Geology mining permit (110) to the Rio Grande County Commissioners on
the date listed below.
ACKNOWLEDGEMENT OF RECEIPT OF COPY OF APPLICATION:
I/~ (/~,~./IG~'TITLE~~( ~/~- DATE: a' ~F ~.S