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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Landy Stinnett <br />P.O. Box 1438 <br />Golden CO 804020000 <br />2248 ~ 4400 ~ Mineral Copies <br />M-1983-011 <br />Receipt #: 1641 <br />Date: 10104/2007 <br />Permit: Minerals <br />$5.00 <br />~ Receipt Total: ~ $5.00 ~ <br />Page 1 of 1 <br />