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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Shannon & Wilson <br />Beth Widmann <br />1060 Bannock Street, Suite 200 <br />Denver CO 802040000 <br />Receipt #: <br />Date: <br />Permit: <br />3752 <br />08/13/2008 <br />Minerals <br /> <br />Cash 4400 Mineral Copies $5.00 <br /> M-1987-028 <br /> Receipt Total: $5.00 <br />Page 1 of 1