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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />r <br />Summit Engineering <br />Scott Johnson <br />P.O. Box 1897 <br />?Alamosa CO 811010000 <br />Cash I 4400 I Mineral Copies <br />M-2002-014 <br />Receipt #: <br />Date: <br />Permit: <br />4966 <br />02/18/2009 <br />Minerals <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1