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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983194 <br />Receipt #: <br />Date: <br />Permit: <br />5181 <br />03/19/2009 <br />Minerals <br />DBA ZELLITTI PROPERTIES <br />Wilma Zellitti <br />10751 West 34th Place <br />?Wheatridge CO 800330000 <br />6981 I 4400 I Mineral Copies <br />M-1980-246 <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1