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Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />555 ~ ~~G,91')~ ~~/ ~~ <br />9'~ <br />Sales Receipt <br />Date Sale No. <br />9/13/2006 17277 <br />Sold To <br />Hollenbeck, Inc. <br />Duane E. Hollenbeck <br />Ranch Account <br /> Check# /Cash <br /> 1876 <br />Description NOTE Amount <br />Min: Mnual Fee <br />Min: NOV Penalty Violation M-1985-023 <br />M-1985-023 MV-2006-026 281.00 <br />281.00 <br /> Total $s6z.oo <br />