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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Joseph Gagliano/Leanora Gagliano <br />256 N. Merrill Dr. <br />Pueblo West CO 810070000 <br />11 -1? <br />3218 14400 1 Mineral Copies <br />14 CD's <br />_ s Y l 4 <br /> <br />Receipt #: <br />Date: <br />Permit: <br />6720 <br />10/05/2009 <br />Minerals <br />$70.00 <br />Receipt Total: $70.00 <br />Page 1 of 1