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Division of Reclamation, Mining, and Safety <br />Fee Receipt for C1111111 <br />Receipt #: <br />Date: <br />Permit: <br />5861 <br />06/16/2009 <br />C1111111 <br />Jackson Kelly PLLC <br />Claire Luce <br />299 18th Street, Suite 2150 <br />Denver CO 802020000 <br />11 <br />Cash 4400 Mineral Copies $5.00 <br />M-1999-058 <br />Receipt Toltal: $5.00 <br />Page 1 of 1