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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />r Civil Resources, LLC <br />323 Fifth Street <br />P.O. Box 680 <br />Frederick CO 805300000 <br />Receipt #: <br />Date: <br />Permit: <br />6697 <br />09/29/2009 <br />Minerals <br />3922 14400 1 Mineral Copies <br />M-2000-144, CD <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1