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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Mi Vida Enterprises Inc. <br />Mark Stein <br />P.O. Box 1523 <br />Longmont CO 805020000 <br />Receipt #: <br />Date: <br />Permit: <br />5101 <br />03/09/2009 <br />Minerals <br />3661 4400 1 Mineral Copies <br />M-1994-117 <br />$15.00 <br />Receipt Total: $15.00 <br />Page 1 of 1