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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />L.G. Everist Inc <br />Lynn Shults <br />7321 E. 88th Ave Suite 200 <br />Henderson CO 806400000 <br />Cash ~ 4400 ~ Mineral Copies <br />Receipt #: <br />Date: <br />Permit: <br />1507 <br />09/18/2007 <br />Minerals <br />$5.00 <br />M-2001-107 <br />Total: ~ $5.00 <br />Page 1 of 1 <br />