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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Cheryl Signs Engineering <br />109 E. Fourth Ave. <br />Denver CO 802030000 <br />Receipt #: <br />Date: <br />Permit: <br />7001 <br />11/10/2009 <br />Minerals <br />8621 4400 Mineral Copies <br />M-1978-056, CD <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1