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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Hart Environmental <br />Mike Hart <br />P.O. Box 1303 <br />Boulder CO 803060000 <br />Receipt #: <br />Date: <br />Permit: <br />4797 <br />01/28/2009 <br />Minerals <br />Cash 4400 Mineral Copies <br />M-1977-081 <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1