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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Semple Miller Mooney & Farrington <br />Matt Ratterman <br />1120 Lincoln Street Suite 1308 <br />Denver CO 802030000 <br />Receipt #: <br />Date: <br />Permit: <br />4595 <br />01/05/2009 <br />Minerals <br /> 4 <br />Cash 4400 Mineral Copies <br />M-1987-028 $5.00 <br /> <br /> Receipt Total: $5.00 <br />Page 1 of 1