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Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Sold To <br />Brian Farnsworth <br />Sales Receipt <br />Date Sale No. <br />8/28/2006 17179 <br /> Check#/Cash <br /> VISA <br />Description NOTE Amount <br />Min: Copy Mineral File Copies 38.25 <br />~'/~- 1477 - 28`.s <br />Vl~ - I x(77- ~~ to C CJ <br />'y - /y7~- o39H~ <br />~ ~ / 9 8~/- 6~ i <br />,~ - Ig77- zs~ <br /> <br />.~ -19~a-ds"5 <br />,yt ~, 006- a 61 <br />~ -~~~7- 3a to <br />~'1 - 15`77- 31 o C'.1~ <br /> <br />l g ~ y''- D /'t/ <br /> ~ <br />- 19 ~~- ~ A- - 3. Zs <br /> Total $38,25 <br />