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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Doris Beaver <br />PO Box 530 <br />Blackhawk CO 804220000 <br />Receipt #: <br />Date: <br />Permit: <br />2075 <br />12/07/2007 <br />Minerals <br />Cash 4400 Mineral Copies <br />Hard copies <br />$12.25 <br />Receipt Total: $12.25 <br />Page 1 of 1 <br />