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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Crystal Landscape Supplies, Inc. <br />Carmen Vancil <br />6616 North Garfield Avenue <br />LovelaA CO 805380000 <br />Cash 4400 Mineral Copies <br />M-2009-006 <br />Receipt #: <br />Date: <br />Permit: <br />6933 <br />10/30/2009 <br />Minerals <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1