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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Roberta L. Ringstrom <br />2152 Denton Grove, #102 <br />Colorado Springs <br />CO 809190000 <br />1235 I 4400 I Mineral Copies <br />M-1977-210, CD <br />Receipt #: <br />Date: <br />Permit: <br />7524 <br />02/09/2010 <br />Minerals <br />$5.00 <br />Receipt Total: <br />$5.00 <br />Page 1 of 1