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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Jim Baughman <br />2186 South Holly Street #104 <br />Denver CO 802220000 <br />Receipt #: <br />Date: <br />Permit: <br />4949 <br />Cash 14400 1 Mineral Copies <br />M-1980-244 <br />02/18/2009 <br />Minerals <br />$20.00 <br />Receipt Total: $20.00 <br />Page 1 of 1