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Colorado Division of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />SOLD TO <br />Colorado Lien Company <br />Sales Receipt <br />DATE SALE NO. <br />12/16/2003 11161 <br /> CHECK#/CASH <br /> 305673 <br />DESCRIPTION NOTE AMOUNT <br />Min: Techl Rev Fee M-1977-304 188.00 <br /> Total $188.00 <br />