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Colorado Division of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />SOLD TO <br />Washington County <br />Sales Receipt <br />DATE SALE NO. <br />03/22/2004 11764 <br /> CHECK#1CASH <br /> 25086 <br />DESCRIPTION NOTE AMOUNT <br />Min: New Application M-2004-021 2,344.00 <br /> Total $2,344.00 <br />