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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: <br />Date: <br />Permit: <br />5092 <br />03/09/2009 <br />Minerals <br />Joseph Gagliano/Leanora Gagliano <br />256 N. Merrill Dr. <br />Pueblo West CO 810070000 <br />11 1/ <br />3120 4400 Mineral Copies $10.00 <br />M-2000-115, M-2007-007, CD's <br />Receipt Total: $10.00 <br />Page 1 of 1