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Division of Reclamation, Mining, and Safety <br />-- Fee Receipt for Minerals <br />Colorado Lien Company <br />Michael Golliher <br />P.O. Box 1961 <br />Fort Collins CO 805220000 <br />Receipt #: <br />Date: <br />Permit: <br />6485 <br />09/01/2009 <br />Minerals <br />Cash 4400 Mineral Copies $5.00 <br />M-1985-038 <br />Receipt Total: $5.00 <br />Page 1 of 1