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Colorado Division of Minerals ~eology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />III IIIIIIIIIIIII III <br />999 <br />SOLD TO <br />Hollenbeck, Inc. <br />DESCRIPTION <br />Min: Annual Fee <br />Mine Name <br />Hollenbeck Pit* <br />M-85-023 <br />- --„i. <br />Permit Number <br />M-85-023 <br />Sales Receipt <br />DATE SALE NO. <br />l Ok20/1999 1119 <br />Om~~~~ <br />NOTE <br />Anniversary Dale <br />05/06/99 <br />CHECK#/CASH <br />1324 <br />AMOUNT <br />225.00 <br />Annual Fee Due <br />$225.00 <br />If your records indicate different facts than those stated above please inform the Division no later than (or the <br />next regular business day). If you receive this notice and you have mailed your payment to the Division, please <br />disregard this notice. The Division appreciates your prompt attention in this matter. <br />Any questions concerning your annual report or fees, may be directed to Petrina Mazza ~t (303) 866-3567. <br />Make checks payable [o [he Division of Minerals and Geology. <br />A1.U1NR11lUlA5lERGiN nFlro <br />Total I s2zs.oo <br />