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Division of Reclamation, Mining, and Safety <br />Fee Receipt for C1980004 <br />Jacobs Chase Frick Kleinkopf ~ Kelley LLC <br />Karin Elsen <br />1050 17th Street Suite 1500 <br />Denver GO 802650000 <br />Receipt #: <br />Date: <br />Permit: <br />2625 <br />03/04/2008 <br />C1980004 <br />.,~ "-""" t{~decl <br />~ <br />~ ~-~r r1~Y ~rv5 1 1 ~ <br />~_. <br />.~l.~F~~~~~idl~..~ ~~ `~IL~~~.~,~~ Iti~~f l~f i ~`rd ~ .:~~c ~ -~'R °I 1 'F -~'_[f <br />28493 4400 Mineral Copies <br />M-2003-016 $5.00 <br /> <br />28493 4400 Mineral Copies <br />M-2004-078 $5.00 <br /> <br />28493 4400 Mineral Copies <br />M-2003-012 $5.00 <br /> <br /> Receipt Total: $15.00 <br />Page 1 of 1 <br />